WO2020162090A1 - Dental therapy device and method for driving same - Google Patents

Dental therapy device and method for driving same Download PDF

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Publication number
WO2020162090A1
WO2020162090A1 PCT/JP2020/000297 JP2020000297W WO2020162090A1 WO 2020162090 A1 WO2020162090 A1 WO 2020162090A1 JP 2020000297 W JP2020000297 W JP 2020000297W WO 2020162090 A1 WO2020162090 A1 WO 2020162090A1
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WO
WIPO (PCT)
Prior art keywords
cutting tool
control
root canal
driving
tip
Prior art date
Application number
PCT/JP2020/000297
Other languages
French (fr)
Japanese (ja)
Inventor
恭平 加藤
的場 一成
Original Assignee
株式会社モリタ製作所
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 株式会社モリタ製作所 filed Critical 株式会社モリタ製作所
Priority to US17/429,168 priority Critical patent/US20220087777A1/en
Priority to CN202080012916.2A priority patent/CN113395946B/en
Priority to EP20752064.4A priority patent/EP3922206B1/en
Publication of WO2020162090A1 publication Critical patent/WO2020162090A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/02Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools
    • A61C1/07Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools with vibratory drive, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/0007Control devices or systems
    • A61C1/0015Electrical systems
    • A61C1/003Control of rotation of instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/02Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools
    • A61C1/06Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design characterised by the drive of the dental tools with electric drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08Machine parts specially adapted for dentistry
    • A61C1/12Angle hand-pieces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • A61C19/041Measuring instruments specially adapted for dentistry for measuring the length of the root canal of a tooth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • A61C19/042Measuring instruments specially adapted for dentistry for determining the position of a root apex
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/40Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/40Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots
    • A61C5/44Means for controlling working depth, e.g. supports or boxes with depth-gauging means, stop positioners or files with adjustably-mounted handles

Definitions

  • the present invention relates to a dental treatment device provided with a handpiece, and more particularly to a dental treatment device for cutting and enlarging an inner wall of a tooth root canal (hereinafter also simply referred to as a root canal) and a driving method thereof.
  • a dental treatment device for cutting and enlarging an inner wall of a tooth root canal (hereinafter also simply referred to as a root canal) and a driving method thereof.
  • treatment to cut and enlarge the root canal may be performed.
  • a dental treatment device in which a cutting tool called a file or a reamer is attached to the head portion of the handpiece is used, and the root canal is cut and enlarged by driving the cutting tool.
  • the dental treatment device drives the cutting tool to cut and expand the root canal, the blade of the cutting tool bites into the root canal wall, and the cutting tool is constrained at this biting part The cutting tool was sometimes twisted and broken when rotated.
  • the cutting tool can cut the root canal when driven in the clockwise direction, but cannot cut the root canal when driven in the counterclockwise direction or reduces the cutting efficiency.
  • the first cutting tool when the first cutting tool is attached to the head part, the first cutting tool is driven by a twist drive in which the rotation angle in the clockwise direction is larger than the rotation angle in the counterclockwise direction. Can efficiently cut the root canal.
  • the rotation angle in the counterclockwise direction when the second cutting tool is attached to the head portion, the rotation angle in the counterclockwise direction is made larger than the rotation angle in the clockwise direction and twist driving is performed to efficiently drive the root canal. It can be cut.
  • the dental treatment apparatus if the first cutting tool is intended to be attached to the head part but the second cutting tool is mistakenly attached, an operation different from the drive operated by the user will be executed.
  • the dental treatment device including the root canal length measurement circuit when the tip of the cutting tool reaches the root apex position, it is driven by twist drive that makes the rotation angle in the clockwise direction larger than the rotation angle in the counterclockwise direction. Control is performed to switch the drive that has been performed to the drive in the counterclockwise direction. At this time, if the cutting tool attached to the head portion is incorrect, an unintended operation (abnormal operation) occurs.
  • the present invention has been made to solve the above problems, and provides a dental treatment apparatus and a driving method thereof that can be safely driven even if the cutting tool attached to the head portion is incorrect. With the goal.
  • the dental treatment apparatus is obtained by a drive unit that drives the cutting tool held in the head portion of the handpiece, a control unit that controls the drive unit that drives the cutting tool, and an electrical root canal length measurement.
  • the controller has a position detector that detects the position of the tip of the cutting tool in the root canal, and the controller drives the cutting tool held in the head part in the normal direction to cut the object to be cut, and drives the cutting tool forward.
  • the position detection unit When the position detection unit detects the arrival of the tip of the cutting tool at the reference position by rolling drive, the cutting tool is reversely driven in the reverse direction of the normal rotation drive, the cutting tool is reversely driven, and the position detection unit When detecting the movement of the tip of the cutting tool in the direction of the apex position, fail-safe control is executed.
  • Another dental treatment apparatus detects a load applied to a cutting tool, a drive section that drives a cutting tool held in a head section of a handpiece, a control section that controls the driving section that drives the cutting tool, and a driving section. And a load detection unit that controls the control unit to drive the cutting tool held in the head portion in the normal direction to cut the object to be cut, drive the cutting tool in the forward direction, and detect the load detection unit in the cutting tool. If the load applied to the cutting tool is equal to or greater than the reference load, the cutting tool is reversely driven in the reverse direction of the normal rotation drive, and the cutting tool is reversely driven so that the load applied to the cutting tool detected by the load detection unit does not fall below the reference load. If so, execute fail-safe control.
  • a method of driving a dental treatment apparatus includes a drive unit that drives a cutting tool held by a head portion of a handpiece, a control unit that controls the drive unit that drives the cutting tool, and an electrical root canal length.
  • a method for driving a dental treatment device comprising a position detection unit that detects a position of a tip of a cutting tool obtained by measurement in a root canal, wherein the control unit is a cutting object held by a cutting tool.
  • the method includes the step of driving in reverse, and the step of performing fail-safe control when the cutting tool is driven in reverse and the position detector detects movement of the tip of the cutting tool in the direction of the apex position.
  • the dental treatment apparatus executes fail-safe control even when the cutting tool is driven in reverse to cause an unintended operation, it can be safely driven even if the cutting tool attached to the head is wrong. You can
  • FIG. 1 is a schematic diagram showing the configuration of a root canal treating device according to the first embodiment.
  • 4 is a block diagram showing a functional configuration of a root canal treating device according to the first embodiment.
  • FIG. It is a circuit diagram which shows the circuit structure of the root canal treatment device which concerns on this Embodiment 1. It is a schematic diagram which showed the rotating direction of the cutting tool.
  • FIG. 4 is a block diagram for explaining a control flow in a control unit of the root canal treating device according to the first embodiment.
  • 7 is a flowchart for explaining two-step control executed in the root canal treating device according to the first embodiment.
  • FIG. 5 is a schematic diagram for explaining two-step control executed in the root canal treating device according to the first embodiment.
  • FIG. 5 is a schematic diagram for explaining a first reference position and a second reference position set in the root canal treating device according to the first embodiment.
  • 7 is a flowchart for explaining two-step control executed in the root canal treating device according to the second embodiment. It is the schematic which shows the structure of the root canal treatment device connected with the control box provided in the exterior of the handpiece with the cord.
  • the root canal treatment device determines that the tip of the cutting tool has reached the apex position using the root canal length measurement circuit, it switches the driving of the cutting tool from forward rotation drive to reverse rotation drive, Prevents cutting and enlarging beyond the pointed position.
  • the normal rotation drive is drive in the direction of cutting the root canal wall that is the object to be cut, and is the clockwise drive in the case of the first cutting tool.
  • the reverse rotation drive is a reverse drive of the normal rotation drive, and is a counterclockwise drive in the case of the first cutting tool. Since the first cutting tool has the blade formed so as to perform cutting by driving in the clockwise direction, when the driving in the clockwise direction is driven as the forward rotation drive, the screw approaches the root apex position as if to bite. The tip of the cutting tool advances in the direction. On the contrary, when the first cutting tool is driven in the counterclockwise direction as reverse driving, the tip of the cutting tool advances in a direction away from the apex position so as to loosen the screw.
  • the cutting tools that can be attached to the head portion of the root canal treatment device perform the cutting in the counterclockwise direction in addition to the first cutting tool in which the blade is formed so as to perform the cutting in the clockwise direction.
  • a second cutting tool having a blade formed therein. Since the second cutting tool has the blade formed so as to perform cutting by driving in the counterclockwise direction, when the driving in the counterclockwise direction is driven as forward rotation driving, the tip of the cutting tool approaches the apex position. Advances. On the contrary, in the second cutting tool, when the clockwise driving is driven as the reverse driving, the tip of the cutting tool advances in the direction away from the apex position.
  • the operation is not intended by the user (abnormal operation).
  • the tip of the cutting tool determines that the tip of the cutting tool has reached the apex position and drives the cutting tool with the reverse rotation drive, the tip of the cutting tool does not move away from the apex position but rather the apex of the apex.
  • the operation further proceeds in the direction of the position, and the operation is not intended by the user.
  • the operation of further advancing toward the apex position is performed. If it is performed, two-step control is performed to determine that the operation is abnormal and stop the driving.
  • the first cutting tool is attached with the intention that the second cutting tool is attached to the head portion of the root canal treating device, the relationship between the driving direction of the root canal treating device and the normal rotation driving and the reverse rotation driving is reversed.
  • the cutting tool can be driven not only by simple forward drive and reverse drive, but also by twist drive that combines forward drive and reverse drive.
  • the root canal treating device can efficiently cut the root canal by driving the first cutting tool by twist driving in which the rotation angle in the clockwise direction is larger than the rotation angle in the counterclockwise direction. it can.
  • the root canal treating device when the second cutting tool is driven by twisting, the root canal is efficiently cut by driving with a twist drive in which the rotation angle in the counterclockwise direction is larger than the rotation angle in the clockwise direction. be able to.
  • the cutting tool is driven by twist drive, the driving in the clockwise direction and the drive in the counterclockwise direction are always included, so the user should make sure that the wrong cutting tool is attached to the head part of the root canal treating device. Is hard to notice.
  • driving including clockwise driving and twist driving in which the rotation angle of clockwise driving is larger than the rotation angle of counterclockwise driving is mainly referred to as clockwise driving
  • the drive including the counterclockwise drive and the twist drive in which the rotation angle of the counterclockwise drive is larger than the rotation angle of the clockwise drive is mainly referred to as counterclockwise drive.
  • the control from the normal rotation drive to the reverse rotation drive performed when the tip of the cutting tool reaches the root apex position and the error of the cutting tool attached to the head part are performed.
  • the two-step control including the fail safe control for preventing the abnormal operation from occurring when the reverse rotation control is performed by the following, specific embodiments will be described in detail below with reference to the drawings.
  • FIG. 1 is a schematic diagram showing the configuration of a root canal treating device 100 according to the first embodiment.
  • FIG. 2 is a block diagram showing a functional configuration of the root canal treating device according to the first embodiment.
  • the dental treatment device according to the first embodiment will be described as a root canal treating device 100 including a handpiece 1 for dental root canal treatment, including a system such as root canal expansion and root canal length measurement.
  • the dental treatment device according to the present invention is not limited to the root canal treating device 100, and can be applied to a dental treatment device having a similar configuration.
  • the root canal treating device 100 shown in FIG. 1 includes a handpiece 1, a motor unit 6, and a control box 9 for dental root canal treatment inside the handpiece 1. That is, the root canal treating device 100 shown in FIG. 1 is a cordless type root canal treating device, not the configuration in which the handpiece 1 is connected to the control box via the hose.
  • a handpiece 1 for dental root canal treatment includes a head portion 2, a neck portion 3 having a small diameter connected to the head portion 2, and a grip portion 4 connected to the neck portion 3 and gripped by a finger. There is.
  • the grip unit 4 has a motor unit 6 and a control box 9 for rotating the cutting tool 5 (file or reamer) held by the head unit 2 therein.
  • the motor unit 6 has a built-in micromotor 7 as shown in FIG. 2, a power supply lead wire 71 for supplying power to the micromotor 7, and a signal for transmitting a signal to a root canal length measuring circuit 12 described later. It is connected to the control box 9 via a lead wire 8 and the like.
  • the signal lead wire 8 is a part of a conductor that is electrically connected to the cutting tool 5 through the motor unit 6 and the handpiece 1 and transmits an electric signal.
  • the cutting tool 5 serves as one electrode of the root canal length measuring circuit 12.
  • the control box 9 includes a control unit 11, a comparison circuit 110, a root canal length measurement circuit 12, a motor driver 13, a setting unit 14, an operation unit 15, a display unit 16 and a notification unit 17.
  • the lead wire 19 may be led out from the grip portion 4, for example.
  • One of the lead wires 19 is connected to the root canal length measuring circuit 12, and the other end of the lead wire 19 is attached with an oral electrode 19a to be hung on the lips of the patient in an electrically conductive state.
  • the oral cavity electrode 19a serves as the other electrode of the root canal length measuring circuit 12.
  • the control unit 11 controls the entire root canal lengthening and root canal length measuring system, and its main part is composed of a microcomputer.
  • the control unit 11 is connected with a comparison circuit 110, a root canal length measuring circuit 12, a motor driver 13, a setting unit 14, an operation unit 15, a display unit 16, and an informing unit 17.
  • the control unit 11 controls the rotation direction of the cutting tool 5 that cuts the object to be cut. Specifically, the control unit 11 drives the cutting tool 5 in a clockwise direction (also referred to as a clockwise direction) and rotates the cutting tool 5 in a counterclockwise (also referred to as a counterclockwise) direction in accordance with a drive sequence. Either of the counterclockwise drive controls is performed.
  • the turning direction of the cutting tool (clockwise direction or counterclockwise direction) is considered based on the case where the tip direction of the cutting tool 5 faces from the side of the cutting tool 5 attached to the head portion 2. Further, the control unit 11 changes each parameter of the clockwise rotation angle, the rotation speed, or the rotation angular velocity (rotation speed), the counterclockwise rotation angle, the rotation speed or the rotation angular velocity (rotation speed), and the number of repetitions. Then, the drive control for rotating the cutting tool 5 can be performed.
  • the rotation angle is a rotation amount that represents the size of turning the cutting tool 5 in the clockwise direction or the counterclockwise direction, and the rotation time (driving period when the number of rotations and the rotational angular velocity (rotation number) are constant. Also referred to as). Further, the rotation angle may be defined by an amount related to the driving of the cutting tool 5, such as a driving current amount or a torque amount. Strictly speaking, depending on the load applied to the cutting tool and the motor, for example, the correspondence between the rotation time for control and the actual rotation angle may have to be corrected, but the correction amount is extremely small and ignored in the practice of the present invention. can do.
  • the comparison circuit 110 is a configuration necessary to detect the load applied to the cutting tool 5, and can be selectively provided when the load needs to be detected.
  • the comparison circuit 110 can compare the loads at any time when the motor driver 13 rotates the cutting tool 5 in the clockwise direction or the counterclockwise direction. Specifically, the comparison circuit 110 compares the load applied to the cutting tool 5 with the reference load after rotating the cutting tool 5 in the clockwise direction or the counterclockwise direction by a predetermined rotation angle (for example, 180 degrees).
  • the root canal length measuring circuit 12 is a structure necessary for detecting the position of the tip of the cutting tool 5 in the root canal, and can be selectively provided when the position needs to be detected. is there.
  • the root canal length measuring circuit 12 constitutes a closed circuit using the cutting tool 5 inserted into the root canal as one electrode and the oral cavity electrode 19a hung on the lips of the patient as the other electrode. Then, the root canal length measuring circuit 12 applies a measurement voltage between the cutting tool 5 and the oral cavity electrode 19a and measures the impedance between the cutting tool 5 and the oral cavity electrode 19a to determine the apex position of the tooth. The distance from to the tip of the cutting tool 5 can be measured.
  • the insertion amount of the cutting tool that is, the distance from the root canal to the tip of the cutting tool is set as the root canal length.
  • the electrical root canal length measuring method for measuring the root canal length by measuring the impedance between the cutting tool 5 and the oral cavity electrode 19a is a known method, and the root canal treating device 100 according to the first embodiment. For this, all known methods for measuring the electric root canal length can be applied.
  • the motor driver 13 is connected to the micromotor 7 via a power supply lead wire 71, and controls the power supplied to the micromotor 7 based on a control signal from the control unit 11.
  • the motor driver 13 controls the power supply to the micromotor 7 to control the rotation direction, the rotation speed and the rotation angle of the micromotor 7, that is, the rotation direction, the rotation speed and the rotation angle of the cutting tool 5.
  • the driving unit is mainly composed of the micromotor 7 and the motor driver 13.
  • the setting unit 14 has a selection button 15b (see FIG. 1) for changing the setting on the surface of the gripping unit 4, and by operating the selection button 15b, the rotation direction, rotation speed, and rotation of the cutting tool 5 can be obtained.
  • the setting unit 14 can set parameters such as the rotation speed and the rotation angle of the cutting tool 5, as well as setting whether or not to perform root canal length measurement.
  • the setting unit 14 sets a switching reference (a reference for switching a drive sequence or a parameter of a drive pattern), a reference load, a timing and the like to be compared with the load applied to the cutting tool 5 in the comparison circuit 110.
  • the operation portion 15 has a drive start/stop button 15a (see FIG. 1) on the surface of the grip portion 4, and the drive of the cutting tool 5 is started or stopped by operating the drive start/stop button 15a. be able to. That is, when the drive start/stop button 15 a is operated while the driving of the cutting tool 5 is stopped, the operation unit 15 transmits an instruction signal to start the driving of the cutting tool 5 to the control unit 11. When the drive start/stop button 15a is operated while the cutting tool 5 is being driven, the operation unit 15 sends an instruction signal for stopping the driving of the cutting tool 5 to the control unit 11.
  • the driving of the cutting tool 5 refers to a period from when the driving of the cutting tool 5 is started by the operation of the driving start/stop button 15a to when the driving is stopped. Therefore, when the detected load exceeds the reference load and the drive of the cutting tool 5 is forcibly stopped, the drive of the cutting tool 5 is not stopped by the operation of the drive start/stop button 15a. 5 is included during driving.
  • the display unit 16 displays the position of the tip of the cutting tool 5 in the root canal, the rotation direction of the cutting tool 5, the rotation speed, the rotation angle, and the like. Furthermore, the information for the notification unit 17 to notify the user can be displayed on the display unit 16.
  • the grasping part 4 is provided with the display part 16. Therefore, the user is driving the cutting tool 5 in the cutting direction or in the non-cutting direction without greatly changing the line of sight, the current position of the cutting tool 5, and the cutting tool. It is possible to confirm information such as the load applied to 5 and the number of rotations.
  • the notification unit 17 notifies the drive state of the cutting tool 5 currently performed by the control unit 11 by light, sound, vibration, or the like.
  • the notification unit 17 is provided with an LED (Light Emitting Diode), a speaker, a vibrator, and the like as necessary to notify the driving state of the cutting tool 5, and drives clockwise and counterclockwise. Driving changes the color of the LED that emits light and the sound output from the speaker. If the display unit 16 can display the driving state of the cutting tool 5 to the user on the display unit 16, the notification unit 17 does not need to be separately provided with an LED, a speaker, a vibrator, or the like.
  • FIG. 3 is a circuit diagram showing a circuit configuration of the root canal treating device 100 according to the first embodiment.
  • the parts of the micromotor 7, the control unit 11, the comparison circuit 110, the root canal length measuring circuit 12, the motor driver 13, and the setting unit 14 which are related to the drive control of the cutting tool 5. It is shown.
  • the motor driver 13 includes a transistor switch 13a, a transistor driver circuit 13b, a rotation direction changeover switch 13c, and a load detection resistor 13d.
  • the rotation direction change-over switch 13c is described as a relay element, but the motor drive circuit may be configured by a semiconductor switch element such as an FET.
  • the setting unit 14 includes a variable resistor 14a for setting a reference load, a variable resistor 14b for setting a duty, and a variable resistor 14c for setting a reference position.
  • the setting unit 14 also includes a configuration for setting a rotation angle (or a rotation time) indicating a timing at which the load detected by the comparison circuit 110 and the reference load are compared. The configuration is shown in FIG. Not shown.
  • the root canal treating device 100 shown in FIG. 3 is connected to a main power source 20 and a main switch 21. Although not shown, the cutting tool 5 is held by the micromotor 7 via an appropriate gear mechanism or the like.
  • the transistor driver circuit 13b operates by a control signal output from the port 11a of the control unit 11, and controls the on/off of the transistor switch 13a to drive the micromotor 7.
  • the micromotor 7 rotates clockwise or counterclockwise depending on the state of the rotation direction changeover switch 13c.
  • the control signal output from the port 11a of the control unit 11 has, for example, a pulse waveform repeated at a constant cycle
  • the width of the pulse waveform, that is, the duty ratio is adjusted by the variable resistor 14b for setting the duty of the setting unit 14.
  • the micromotor 7 drives the cutting tool 5 at a rotation speed corresponding to this duty ratio.
  • the rotation direction changeover switch 13c is a control signal output from the port 11b of the control unit 11 and switches whether to drive the cutting tool 5 clockwise or counterclockwise.
  • the control unit 11 detects the load applied to the cutting tool 5 based on the amount of current (or voltage value) of the load detection resistor 13d input to the port 11c. Therefore, the load detection resistor 13d functions as a load detection unit that detects the load applied to the cutting tool 5.
  • the load detection unit is not limited to a configuration in which the load applied to the cutting tool 5 is detected based on the amount of current (or voltage value) of the load detection resistor 13d. For example, a torque is applied to the drive portion of the cutting tool 5.
  • Another configuration such as a configuration in which a sensor is provided to detect the load applied to the cutting tool 5 may be used.
  • the detected load is converted into a torque value applied to the cutting tool 5 by the control unit 11 and displayed on the display unit 16, for example.
  • the comparison circuit 110 compares the torque value converted by the control unit 11 with the torque value set by using the reference load setting variable resistor 14a.
  • the comparison circuit 110 may be configured to directly compare the current amount (or voltage value) of the load detection resistor 13d and the current amount (or voltage value) of the variable resistor 14a without converting the torque value.
  • control unit 11 inputs the root canal length measured by the root canal length measuring circuit 12 into the port 11d. Therefore, the root canal length measuring circuit 12 functions as a position detector that detects the position of the tip of the cutting tool 5 in the root canal. Further, the control unit 11 outputs the load applied to the cutting tool 5 detected by the load detection unit from the port 11e to the comparison circuit 110, and the comparison result obtained by the comparison circuit 110 comparing with the reference load is input from the port 11e. Therefore, the comparison circuit 110 functions as a load comparison unit that compares the load detected by the load detection unit and the reference load.
  • the control unit 11 may combine the configuration described in the analog circuit as software in one microcomputer.
  • FIG. 4 is a schematic diagram showing the rotation direction of the cutting tool 5.
  • driving in a clockwise direction 5a that turns the cutting tool 5 clockwise from the side of the cutting tool 5 attached to the head portion 2 toward the tip direction of the cutting tool 5 is performed.
  • Driving counterclockwise to rotate counterclockwise 5b is shown.
  • the drive for rotating the cutting tool 5 in the clockwise direction 5a at the predetermined rotation angle and the drive for rotating the cutting tool 5 in the counterclockwise direction 5b at the predetermined rotation angle are alternately performed.
  • Twist drive In the twist drive, alternate rotations in the clockwise direction and the counterclockwise direction may be performed with the same drive amount or may be performed with different drive amounts.
  • FIG. 5 is a block diagram for explaining a control flow in the control unit 11 of the root canal treating device 100 according to the first embodiment.
  • the control unit 11 has three controls, namely, a forward rotation control 111, a reverse rotation control 112, and a fail-safe control 113, as controls for driving the cutting tool 5.
  • the forward rotation control 111 is control for driving the cutting tool 5 in the forward direction to cut and enlarge the root canal. That is, in the forward rotation control 111, for example, when the first cutting tool is attached to the head part 2, the cutting tool 5 is mainly controlled to be driven clockwise, and the second cutting tool is attached to the head part 2. In this case, the cutting tool 5 is mainly controlled to drive counterclockwise.
  • the control unit 11 causes the root canal length measuring circuit 12 to move the cutting tool 5 to the reference position (for example, the apex position) while driving the cutting tool 5 by the forward rotation control 111 to perform cutting and enlarging the root canal.
  • the control shifts from the forward rotation control 111 to the reverse rotation control 112.
  • the reverse rotation control 112 is a control that reverses the drive from the normal drive to the reverse drive. That is, for example, when the first cutting tool is attached to the head unit 2, the reverse rotation control 112 controls the driving of the cutting tool 5 mainly to the counterclockwise drive, and the second cutting tool is attached to the head unit 2. If the cutting tool 5 is driven, the driving of the cutting tool 5 is mainly controlled to be clockwise.
  • the reference position may be, for example, a position preset by the user in the root canal other than being set at the apex position.
  • the tip of the cutting tool 5 advances in a direction approaching the root apex while cutting and enlarging the root canal by driving in the forward direction, and the tip of the cutting tool 5 advances in a direction away from the reference position when driven in the reverse direction. It will be. Therefore, the reverse rotation control 112 controls the drive in the direction away from the reference position by driving the cutting tool 5 in the reverse direction.
  • the control can be returned from the reverse control 112 to the forward control 111. it can.
  • the tip of the cutting tool 5 further advances toward the apex position. Therefore, when the root canal length measuring circuit 12 detects the movement of the tip of the cutting tool 5 in the direction of the root apex when the cutting tool 5 is reversely driven by the reverse rotation control 112, it is determined that an abnormal operation is detected, and the reverse rotation is detected. The control shifts from the control 112 to the fail-safe control 113.
  • the fail-safe control 113 is control for stopping driving of the cutting tool 5. Thereby, even if the cutting tool 5 attached to the head portion 2 is wrong, the root canal treating device 100 can prevent the cutting and enlarging beyond the apex position.
  • the fail-safe control 113 is not limited to the control for stopping the driving of the cutting tool 5 even if the cutting tool 5 attached to the head unit 2 is erroneous as long as the driving in the reverse rotation control 112 can prevent the abnormal operation.
  • the fail-safe control 113 outputs, for example, control for decreasing the rotational speed of the cutting tool 5, control for twist driving the cutting tool 5, control for reversing the driving direction of the cutting tool 5, control for outputting a sound, and light.
  • At least one of the control and the control for vibrating the handpiece 1 may be included.
  • the fail-safe control 113 performs control for reversing the driving direction of the cutting tool 5 and sets the reverse rotation drive of the cutting tool 5 by the reverse rotation control 112 to the normal rotation drive, so that when the cutting tool 5 is incorrect.
  • the abnormal operation of may be prevented.
  • the fail-safe control 113 outputs a sound or light using the notification unit 17 to notify the abnormal operation.
  • the control may be performed to prevent abnormal operation when the cutting tool 5 is erroneous.
  • the releasing operation is, for example, an operation in which the root canal length measuring circuit 12 detects that the tip of the cutting tool 5 has reached a predetermined position (for example, a root canal opening) that is closer to the crown than the reference position. Note that the release operation is not limited to this, and another operation such as long-pressing the drive start/stop button 15a may be set.
  • FIG. 6 is a flowchart for explaining the two-step control executed in the root canal treating device 100 according to the first embodiment.
  • FIG. 7 is a schematic diagram for explaining the two-step control executed in the root canal treating device 100 according to the first embodiment.
  • the control unit 11 determines whether or not the driving start/stop button 15a has been pressed by the user to perform a driving operation (step S110). When there is no driving operation (NO in step S110), the control unit 11 returns the process to step S110 and waits for the driving operation by the user. When there is a driving operation (YES in step S110), the control unit 11 drives the cutting tool 5 in the normal direction (step S111). That is, this is the case where the cutting tool 5 is driven by the forward rotation control 111 shown in FIG. 5, and as shown in FIG. 7A, the first cutting tool 5A is attached to the head portion 2 to cut the root canal. This is the case when expanding.
  • the root canal length measuring circuit 12 measures the position of the tip of the cutting tool 5 in the root canal while the cutting tool 5 is driven in the normal direction.
  • the control unit 11 determines whether or not the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 has reached a reference position (for example, the apex position) (step S112). When the position of the tip of the cutting tool 5 has not reached the reference position (NO in step S112), the control unit 11 returns the process to step S111 and determines whether the position of the tip of the cutting tool 5 has reached the reference position. Continue.
  • step S113 the control unit 11 drives the cutting tool 5 in the reverse direction (step S113). That is, this is the case where the cutting tool 5 is driven by the reverse rotation control 112 shown in FIG. 5, and as shown in FIG. 7B, the position of the tip of the first cutting tool 5A reaches the apex position, and This is the case where the cutting tool 5A is driven in reverse.
  • the tip of the first cutting tool 5A advances in a direction in which the position of the tip of the first cutting tool 5A moves away from the apex position (Fig. 7(c)).
  • the reverse rotation drive by the first cutting tool 5A becomes the forward rotation drive by the second cutting tool 5B, so that the direction of the apex position is increased.
  • the tip of the second cutting tool 5B further advances (FIG. 7(f)).
  • the drive in the reverse rotation control 112 is a drive for preventing the tip of the cutting tool 5 which has reached the reference position from further proceeding beyond the reference position. Therefore, when the cutting tool 5 is driven by the reverse rotation control 112 and the tip of the cutting tool 5 further advances in the direction of the apex position, the control unit 11 determines that the operation is not intended by the user and is an abnormal operation. ..
  • the control unit 11 determines the abnormal operation based on whether the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 has moved in the direction of the apex position (step S114).
  • the determination by the root canal length measuring circuit 12 of whether or not the position of the tip of the cutting tool 5 has moved in the direction of the root apex will be described in detail.
  • the root canal length measuring circuit 12 sets the reference position for driving the cutting tool 5 in the reverse direction to the first reference position and the position of the apex or the position from the apex side with respect to the first reference position to the second reference position. Set each as the reference position of. FIG.
  • FIG. 8 is a schematic diagram for explaining the first reference position and the second reference position set in the root canal treating device according to the first embodiment.
  • the first reference position is set in the block of one scale and the scale of the apex position (APEX) is set.
  • the second reference position is set for each block. That is, the second reference position is set to the absolute position as the position of the apex.
  • the position for setting the second reference position is not limited to the position of the apex, but may be set in the vicinity of the position of the apex (for example, the range of two blocks before and after the APEX scale). Further, in FIG.
  • the first reference position is set in the block of one scale from the first reference position, for example.
  • the positions from the apical side of the three dots are set as the second reference positions. That is, the second reference position is set as a relative position with respect to the first reference position.
  • the control unit 11 drives the cutting tool 5 in the reverse direction by setting the first reference position and the second reference position, and the root canal length measuring circuit 12 causes the tip of the cutting tool 5 to reach the second reference position.
  • the control unit 11 controls the cutting tool 5 when the position of the tip of the cutting tool 5 measured in the display of the root canal length measuring circuit 12 shown in FIG. 8A reaches the first reference position from the upper side in the drawing.
  • the determination of whether the tip position of the cutting tool 5 has moved in the direction of the root apex by the root canal length measuring circuit 12 is not limited to the case of setting the first reference position and the second reference position. .. For example, without setting the second reference position, it may be determined whether or not the cutting tool 5 has moved from the moving direction of the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 toward the root apex position. ..
  • step S114 when the position of the tip of the cutting tool 5 has not moved in the direction of the apex position (NO in step S114), the control unit 11 returns the process to step S113, and performs the reverse rotation drive by the reverse rotation control 112. Continue.
  • the control unit 11 determines that the operation is abnormal and stops driving the cutting tool 5 as control by the fail-safe control 113. Yes (step S115).
  • the control unit 11 may perform control (reverse rotation drive in the flowchart) to reverse the driving direction of the cutting tool 5 instead of stopping the driving of the cutting tool 5 when determining that the operation is abnormal.
  • the control unit 11 determines whether or not the release operation is performed by the user (step S116). When the release operation has not been performed (NO in step S116), the control unit 11 returns the process to step S116 and waits for the release operation by the user. When the release operation is performed (YES in step S116), the control unit 11 ends the driving of the cutting tool 5 in the fail-safe control 113. That is, the control unit 11 returns to the drive of the cutting tool 5 in the forward rotation control 111.
  • the first reference position and the second reference position are set as described above, as a releasing operation, for example, until the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 reaches the first reference position.
  • the position at which the tip of the cutting tool 5 is moved by the release operation is not limited to the first reference position and may be a predetermined position that is a position closer to the crown than the apex position.
  • the control unit 11 changes the position of the tip of the cutting tool 5 whose driving is stopped by the fail safe control 113 from the second reference position to the first reference position.
  • the process returns to the drive of the cutting tool 5 in the forward rotation control 111.
  • the root canal treating device 100 includes the drive unit configured by the micromotor 7, the motor driver 13, and the like, the control unit 11, and the root canal length measuring circuit 12. ing.
  • the drive unit drives the cutting tool 5 held by the head unit 2 of the handpiece 1.
  • the control unit 11 controls a drive unit that drives the cutting tool 5.
  • the root canal length measuring circuit 12 detects the position of the tip of the cutting tool 5 in the root canal obtained by the electric root canal length measurement.
  • the control unit 11 drives the cutting tool 5 held by the head unit 2 in the normal direction to cut the object to be cut, drives the cutting tool 5 in the normal direction, and causes the root canal length measuring circuit 12 to cut to the reference position.
  • the cutting tool 5 When the arrival of the tip of the tool 5 is detected, the cutting tool 5 is reversely driven in the reverse direction of the normal rotation driving, the cutting tool 5 is reversely driven, and the root canal length measuring circuit 12 performs cutting in the direction of the apex position.
  • fail-safe control is executed.
  • the root canal treating device 100 controls the driving of the cutting tool 5 by the fail-safe control 113 even if the cutting tool 5 is driven by the reverse rotation control 112 to cause an unintended operation. Even if the cutting tool 5 attached to the head portion 2 is wrong, it can be safely driven.
  • the fail-safe control is a control for stopping the driving of the cutting tool 5, a control for reducing the rotation speed of the cutting tool 5, a control for twist driving the cutting tool 5, a control for reversing the driving direction of the cutting tool 5, and a sound output. At least one of the control, the control for outputting light, and the control for vibrating the handpiece 1 is included.
  • the root canal treating device 100 can provide appropriate fail-safe control suitable for driving the cutting tool 5.
  • the reference position is the position preset by the user in the root canal or the position of the apex. This allows the user to arbitrarily set the position at which the cutting tool 5 is driven to be reversed by the reverse rotation control 112.
  • the control unit 11 When executing the fail-safe control 113, the control unit 11 continues to execute the fail-safe control until the cancel operation is performed. As a result, the drive of the cutting tool 5 in the fail-safe control 113 is maintained until the safe drive is ensured.
  • the release operation is an operation in which the root canal length measuring circuit 12 detects the arrival of the tip of the cutting tool at a predetermined position which is closer to the crown than the reference position.
  • the root canal treating device 100 further includes an informing unit 17 for informing the user.
  • the notifying unit 17 drives the cutting tool 5 in the reverse direction and notifies the abnormality. This allows the user to recognize that an abnormal operation has occurred when the cutting tool 5 is driven by the reverse rotation control 112.
  • the driving method of the root canal treating device 100 includes a step of driving the cutting tool 5 held in the head portion 2 in the normal direction in the direction of cutting the object to be cut, and a normal driving of the cutting tool 5 to measure the root canal length measuring circuit.
  • a step of driving the cutting tool 5 in the reverse direction of the normal rotation drive in the reverse direction, and driving the cutting tool 5 in the reverse direction the root canal length measuring circuit 12 Detects the movement of the tip of the cutting tool 5 in the direction of the apex position, the step of executing fail-safe control is included.
  • the cutting tool 5 is driven by fail-safe control even if the cutting tool 5 is driven in the reverse rotation to cause an unintended operation. Even if the cutting tool 5 attached to the head unit 2 is wrong, it can be safely driven.
  • the root canal treating device 100 according to the second embodiment also has the same configuration as the root canal treating device 100 according to the first embodiment shown in FIGS. 1 to 3, and therefore the same reference numerals are used for the same components. The detailed description will not be repeated.
  • control unit 11 determines whether or not the drive start/stop button 15a has been pressed by the user to perform a drive operation (step S120). When there is no driving operation (NO in step S120), the control unit 11 returns the process to step S120 and waits for the driving operation by the user. If there is a driving operation (YES in step S120), the control unit 11 drives the cutting tool 5 in the normal direction to rotate normally (step S121). That is, this is the case where the cutting tool 5 is driven by the forward rotation control 111 shown in FIG.
  • the load detection unit determines whether the load applied to the cutting tool 5 has become the reference load (step S122). That is, when the load applied to the cutting tool 5 becomes the reference load, the control unit 11 switches from driving in the forward rotation control 111 to driving in the reverse rotation control 112 in order to prevent breakage of the cutting tool 5. When the load applied to the cutting tool 5 is smaller than the reference load (NO in step S122), the control unit 11 returns the process to step S121 and continues to determine whether the load applied to the cutting tool 5 has become the reference load.
  • step S122 If the load applied to the cutting tool 5 has become the reference load (YES in step S122), the control unit 11 drives the cutting tool 5 in reverse by a reverse operation (step S123). That is, this is the case where the cutting tool 5 is driven by the reverse rotation control 112 shown in FIG.
  • the first cutting tool 5A When the first cutting tool 5A is driven in the reverse direction, the first cutting tool 5A is rotated in the non-cutting direction, so that the blade of the cutting tool 5 biting into the root canal wall is released, and the load applied to the first cutting tool 5A is small. Become. However, when the second cutting tool 5B is erroneously attached to the head portion 2, the reverse rotation drive of the first cutting tool 5A becomes the forward rotation drive of the second cutting tool 5B. The blade of the cutting tool 5 that is rotated in the cutting direction and bites into the root canal wall further bites, and the load applied to the second cutting tool 5B increases.
  • the drive in the reverse rotation control 112 is a drive for preventing the breakage of the cutting tool 5 by driving the load applied to the cutting tool 5 to be smaller than the reference load. Therefore, when the cutting tool 5 is driven by the reverse rotation control 112 and the load applied to the cutting tool 5 becomes larger than the reference load, the control unit 11 determines that the operation is not intended by the user and is an abnormal operation.
  • the control unit 11 determines whether or not the load applied to the cutting tool 5 by the load detection unit is larger than the reference load by determining the abnormal operation (step S124). When the load applied to the cutting tool 5 becomes smaller than the reference load (NO in step S124), the control unit 11 returns the process to step S123 and continues the reverse rotation drive by the reverse rotation control 112. When the load applied to the cutting tool 5 becomes larger than the reference load (YES in step S124), the control unit 11 determines that the operation is abnormal and stops the driving of the cutting tool 5 as the control of the fail safe control 113 (step). S125). Note that the control unit 11 may perform control (reverse rotation drive in the flowchart) to reverse the driving direction of the cutting tool 5 instead of stopping the driving of the cutting tool 5 when determining that the operation is abnormal.
  • the control unit 11 determines whether or not the release operation is performed by the user (step S126). When the release operation has not been performed (NO in step S126), the control unit 11 returns the process to step S126 and waits for the release operation by the user. When the release operation is performed (YES in step S126), the control unit 11 ends the driving of the cutting tool 5 in the fail-safe control 113. That is, the control unit 11 returns to the drive of the cutting tool 5 in the forward rotation control 111.
  • the root canal treating device 100 includes the drive unit including the micromotor 7 and the motor driver 13, the control unit 11, and the load detecting unit.
  • the drive unit drives the cutting tool 5 held by the head unit 2 of the handpiece 1.
  • the control unit 11 controls a drive unit that drives the cutting tool 5.
  • the load detector detects the load applied to the cutting tool 5.
  • the control unit 11 drives the cutting tool 5 held by the head unit 2 in the normal rotation direction to cut an object to be cut, drives the cutting tool 5 in the normal rotation direction, and applies a load to the cutting tool 5 detected by the load detection unit.
  • the cutting tool 5 is reversely driven in the reverse direction of the normal rotation drive, the cutting tool 5 is reversely driven, and the load applied to the cutting tool 5 detected by the load detection unit does not become less than the reference load. If so, execute fail-safe control.
  • the drive of the cutting tool 5 is controlled by the fail-safe control 113 even if the reverse rotation control 112 drives the cutting tool 5 to cause an unintended operation. Even if the cutting tool 5 attached to the head portion 2 is wrong, it can be safely driven.
  • the configuration of the two-step control for switching to the reverse rotation control 112 and the fail-safe control 113 is the root according to the first embodiment. You may combine with the structure of the two-step control based on the relationship with the reference position in the tube treatment device 100.
  • the root canal treating device 100 according to the second embodiment is configured, it is a root canal treating device that does not include a root canal length measuring system and can detect the load of the cutting tool 5 and only expands the canal. It may be.
  • FIG. 10 is a schematic diagram showing a configuration of a root canal treating device 100a connected to a control box 9 provided outside the handpiece 1 by a cord.
  • the same components as those shown in FIGS. 1 to 3 are designated by the same reference numerals and detailed description thereof will not be repeated.
  • a root canal treating device 100a shown in FIG. 10 includes a handpiece 1 for dental root canal treatment, a motor unit 6, and a control box 9.
  • a motor unit 6 for rotationally driving a cutting tool 5 (file or reamer) held by the head 2 is detachably connected to the base of the grip 4. It The dental instrument 10 is configured with the motor unit 6 connected to the handpiece 1.
  • the motor unit 6 has a micromotor 7 built-in, and a hose having a power supply lead wire 71 for supplying power to the micromotor 7, a signal lead wire 8 for transmitting a signal to the root canal length measuring circuit 12, and the like. It is connected to the control box 9 via 61.
  • the control box 9 has a holder 10a attached to the side of the main body for holding the instrument 10 when not in use. Further, in the control box 9, a foot controller 18 is connected to the control unit 11, and a lead wire 19 is connected to the root canal length measuring circuit 12. Although the lead wire 19 is drawn from the control box 9, it may be drawn so as to be branched from the middle of the hose 61.
  • the setting unit 14 has a selection button 15b for changing the setting on the surface of the control box 9, and controls the rotation direction, rotation speed, rotation angle, etc. of the cutting tool 5 by operating the selection button 15b. Set the standard.
  • the operation unit 15 has a drive start/stop button 15a on the surface of the control box 9, and the drive of the cutting tool 5 can be started or stopped by operating the drive start/stop button 15a.
  • the foot controller 18 is an operation reception unit that controls the driving of the cutting tool 5 by the micromotor 7 by stepping.
  • the drive control of the cutting tool 5 by the micromotor 7 is not limited to the foot controller 18, but an operation switch (not shown) is provided in the grip portion 4 of the handpiece 1, and the operation switch and the foot controller 18 are provided. You may make it drive-control the cutting tool 5 using together and. Further, for example, while the foot controller 18 is being operated on by the foot, the root canal length measuring circuit 12 detects that the cutting tool 5 has been inserted into the root canal, so that the cutting tool 5 is rotated. You may make it start.
  • control box 9 of the root canal treating device 100a has been described as being placed on a tray table or a side table installed on the side of the dental examination table and used, the present invention is not limited to this.
  • the control box 9 may be incorporated in the tray table or the side table.

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Abstract

This dental therapy device comprises: a drive unit that is structured from a micro motor (7) and a motor driver (13), or similar; a control unit (11); and a root canal length measurement circuit (12). The control unit (11) forward-rotationally drives a cutting tool (5), which is retained in a head unit (2), in a direction in which the same cuts a cutting target. When the cutting tool (5) is forward-rotationally driven and the root canal length measurement circuit (12) detects the arrival of a tip of the cutting tool (5) at a reference location, the control unit (11) reverse-rotationally drives the cutting tool (5) in the opposite direction from the forward-rotational driving. When the cutting tool (5) is reverse-rotationally driven and the root canal length measurement circuit (12) detects movement of the tip of the cutting tool (5) in the direction of a root tip location, the control unit (11) performs failsafe control.

Description

歯科用治療装置およびその駆動方法Dental treatment apparatus and driving method thereof
 本発明は、ハンドピースを備えた歯科用治療装置に関し、特に、歯の根管(以下、単に根管ともいう)の内壁を切削拡大する歯科用治療装置およびその駆動方法に関する。 The present invention relates to a dental treatment device provided with a handpiece, and more particularly to a dental treatment device for cutting and enlarging an inner wall of a tooth root canal (hereinafter also simply referred to as a root canal) and a driving method thereof.
 歯科治療において、根管を切削拡大する治療が行われることがある。当該治療には、ハンドピースのヘッド部にファイル或いはリーマと称される切削工具を取付けた歯科用治療装置が用いられ、切削工具を駆動することで根管を切削拡大している。歯科用治療装置が切削工具を駆動して根管を切削拡大する際に、根管壁に切削工具の刃が食い込み、この食い込み部分で切削工具が拘束された状態で、さらに切削工具を無理に回転させることで切削工具がねじられて破折することがあった。 In dental treatment, treatment to cut and enlarge the root canal may be performed. For the treatment, a dental treatment device in which a cutting tool called a file or a reamer is attached to the head portion of the handpiece is used, and the root canal is cut and enlarged by driving the cutting tool. When the dental treatment device drives the cutting tool to cut and expand the root canal, the blade of the cutting tool bites into the root canal wall, and the cutting tool is constrained at this biting part The cutting tool was sometimes twisted and broken when rotated.
 特許文献1で開示している歯科用治療装置では、切削工具の破折を防止するために、一定時間毎にモータの回転方向が逆転し、切削工具が一定時間毎に正転と逆転とを繰り返す、正逆回転動作のツイスト駆動を行うハンドピースが開示されている。 In the dental treatment device disclosed in Patent Document 1, in order to prevent the cutting tool from breaking, the rotation direction of the motor reverses at regular time intervals, and the cutting tool performs normal rotation and reverse rotation at regular time intervals. A handpiece that performs a twist drive of a forward/reverse rotation operation that is repeated is disclosed.
国際公開第2012/164875号International Publication No. 2012/164875
 切削工具には、時計回り方向に駆動した場合に根管を切削することができるが、反時計回り方向の駆動した場合には根管を切削することができない或いは切削効率が低下する第1切削工具と、反時計回り方向に駆動した場合に根管を切削することができるが、時計回り方向の駆動した場合には根管を切削することができない或いは切削効率が低下する第2切削工具とがある。 The cutting tool can cut the root canal when driven in the clockwise direction, but cannot cut the root canal when driven in the counterclockwise direction or reduces the cutting efficiency. A tool and a second cutting tool capable of cutting the root canal when driven in the counterclockwise direction but not capable of cutting the root canal when driven in the clockwise direction or having a reduced cutting efficiency; There is.
 特許文献1で開示している歯科用治療装置では、第1切削工具をヘッド部に取り付けた場合、時計回り方向の回転角度を反時計回り方向の回転角度よりも大きくしたツイスト駆動で駆動することで根管を効率よく切削することができる。一方、当該歯科用治療装置は、第2切削工具をヘッド部に取り付けた場合、反時計回り方向の回転角度を時計回り方向の回転角度よりも大きくしてツイスト駆動することで根管を効率よく切削することができる。 In the dental treatment device disclosed in Patent Document 1, when the first cutting tool is attached to the head part, the first cutting tool is driven by a twist drive in which the rotation angle in the clockwise direction is larger than the rotation angle in the counterclockwise direction. Can efficiently cut the root canal. On the other hand, in the dental treatment device, when the second cutting tool is attached to the head portion, the rotation angle in the counterclockwise direction is made larger than the rotation angle in the clockwise direction and twist driving is performed to efficiently drive the root canal. It can be cut.
 しかし、当該歯科用治療装置では、第1切削工具をヘッド部に取り付けたつもりが、誤って第2切削工具を取り付けた場合、使用者が操作した駆動と異なる動作が実行されることになる。特に、根管長測定回路を含む歯科用治療装置では、根尖位置に切削工具の先端が到達した場合、時計回り方向の回転角度を反時計回り方向の回転角度よりも大きくしたツイスト駆動で駆動していたものを反時計回り方向の駆動に切換える制御が行われる。このとき、ヘッド部に取り付けた切削工具が誤っていた場合、意図しない動作(異常動作)となる。 However, in the dental treatment apparatus, if the first cutting tool is intended to be attached to the head part but the second cutting tool is mistakenly attached, an operation different from the drive operated by the user will be executed. Especially, in the dental treatment device including the root canal length measurement circuit, when the tip of the cutting tool reaches the root apex position, it is driven by twist drive that makes the rotation angle in the clockwise direction larger than the rotation angle in the counterclockwise direction. Control is performed to switch the drive that has been performed to the drive in the counterclockwise direction. At this time, if the cutting tool attached to the head portion is incorrect, an unintended operation (abnormal operation) occurs.
 本発明は、上記問題点を解決するためになされたものであり、ヘッド部に取り付けた切削工具が誤っていた場合でも安全に駆動することができる歯科用治療装置およびその駆動方法を提供することを目的とする。 The present invention has been made to solve the above problems, and provides a dental treatment apparatus and a driving method thereof that can be safely driven even if the cutting tool attached to the head portion is incorrect. With the goal.
 本発明に係る歯科用治療装置は、ハンドピースのヘッド部に保持した切削工具を駆動する駆動部と、切削工具を駆動する駆動部を制御する制御部と、電気的根管長測定で得られる切削工具の先端の根管内での位置を検出する位置検出部とを備え、制御部は、ヘッド部に保持する切削工具が切削対象物を切削する方向に正転駆動し、切削工具を正転駆動して、位置検出部が基準位置への切削工具の先端の到達を検出する場合、切削工具を正転駆動の逆方向に逆転駆動し、切削工具を逆転駆動して、位置検出部が根尖位置の方向への切削工具の先端の移動を検出する場合、フェールセーフ制御を実行する。 The dental treatment apparatus according to the present invention is obtained by a drive unit that drives the cutting tool held in the head portion of the handpiece, a control unit that controls the drive unit that drives the cutting tool, and an electrical root canal length measurement. The controller has a position detector that detects the position of the tip of the cutting tool in the root canal, and the controller drives the cutting tool held in the head part in the normal direction to cut the object to be cut, and drives the cutting tool forward. When the position detection unit detects the arrival of the tip of the cutting tool at the reference position by rolling drive, the cutting tool is reversely driven in the reverse direction of the normal rotation drive, the cutting tool is reversely driven, and the position detection unit When detecting the movement of the tip of the cutting tool in the direction of the apex position, fail-safe control is executed.
 本発明に係る別の歯科用治療装置は、ハンドピースのヘッド部に保持した切削工具を駆動する駆動部と、切削工具を駆動する駆動部を制御する制御部と、切削工具に加わる負荷を検出する負荷検出部とを備え、制御部は、ヘッド部に保持する切削工具が切削対象物を切削する方向に正転駆動し、切削工具を正転駆動して、負荷検出部で検出する切削工具に加わる負荷が基準負荷以上である場合、切削工具を正転駆動の逆方向に逆転駆動し、切削工具を逆転駆動して、負荷検出部で検出する切削工具に加わる負荷が基準負荷未満とならない場合、フェールセーフ制御を実行する。 Another dental treatment apparatus according to the present invention detects a load applied to a cutting tool, a drive section that drives a cutting tool held in a head section of a handpiece, a control section that controls the driving section that drives the cutting tool, and a driving section. And a load detection unit that controls the control unit to drive the cutting tool held in the head portion in the normal direction to cut the object to be cut, drive the cutting tool in the forward direction, and detect the load detection unit in the cutting tool. If the load applied to the cutting tool is equal to or greater than the reference load, the cutting tool is reversely driven in the reverse direction of the normal rotation drive, and the cutting tool is reversely driven so that the load applied to the cutting tool detected by the load detection unit does not fall below the reference load. If so, execute fail-safe control.
 本発明に係る歯科用治療装置の駆動方法は、ハンドピースのヘッド部に保持された切削工具を駆動する駆動部と、切削工具を駆動する駆動部を制御する制御部と、電気的根管長測定で得られる切削工具の先端の根管内での位置を検出する位置検出部とを備える歯科用治療装置の駆動方法であって、制御部は、ヘッド部に保持する切削工具が切削対象物を切削する方向に正転駆動するステップと、切削工具を正転駆動して、位置検出部が基準位置への切削工具の先端の到達を検出する場合、切削工具を正転駆動の逆方向に逆転駆動するステップと、切削工具を逆転駆動して、位置検出部が根尖位置の方向への切削工具の先端の移動を検出する場合、フェールセーフ制御を実行するステップとを含む。 A method of driving a dental treatment apparatus according to the present invention includes a drive unit that drives a cutting tool held by a head portion of a handpiece, a control unit that controls the drive unit that drives the cutting tool, and an electrical root canal length. A method for driving a dental treatment device comprising a position detection unit that detects a position of a tip of a cutting tool obtained by measurement in a root canal, wherein the control unit is a cutting object held by a cutting tool. When driving the cutting tool in the forward direction and the position detector detects the arrival of the tip of the cutting tool at the reference position, the cutting tool is driven in the reverse direction The method includes the step of driving in reverse, and the step of performing fail-safe control when the cutting tool is driven in reverse and the position detector detects movement of the tip of the cutting tool in the direction of the apex position.
 本発明に係る歯科用治療装置は、切削工具を逆転駆動して意図しない動作となってもフェールセーフ制御を実行するので、ヘッド部に取り付けた切削工具が誤っていた場合でも安全に駆動することができる。 Since the dental treatment apparatus according to the present invention executes fail-safe control even when the cutting tool is driven in reverse to cause an unintended operation, it can be safely driven even if the cutting tool attached to the head is wrong. You can
本実施の形態1に係る根管治療器の構成を示す概略図である。1 is a schematic diagram showing the configuration of a root canal treating device according to the first embodiment. 本実施の形態1に係る根管治療器の機能の構成を示すブロック図である。4 is a block diagram showing a functional configuration of a root canal treating device according to the first embodiment. FIG. 本実施の形態1に係る根管治療器の回路構成を示す回路図である。It is a circuit diagram which shows the circuit structure of the root canal treatment device which concerns on this Embodiment 1. 切削工具の回転方向を示した模式図である。It is a schematic diagram which showed the rotating direction of the cutting tool. 本実施の形態1に係る根管治療器の制御部での制御の流れを説明するためのブロック図である。FIG. 4 is a block diagram for explaining a control flow in a control unit of the root canal treating device according to the first embodiment. 本実施の形態1に係る根管治療器において実行される2段階制御を説明するためのフローチャートである。7 is a flowchart for explaining two-step control executed in the root canal treating device according to the first embodiment. 本実施の形態1に係る根管治療器において実行される2段階制御を説明するための模式図である。FIG. 5 is a schematic diagram for explaining two-step control executed in the root canal treating device according to the first embodiment. 本実施の形態1に係る根管治療器において設定される第1の基準位置および第2の基準位置を説明するための模式図である。FIG. 5 is a schematic diagram for explaining a first reference position and a second reference position set in the root canal treating device according to the first embodiment. 本実施の形態2に係る根管治療器において実行される2段階制御を説明するためのフローチャートである。7 is a flowchart for explaining two-step control executed in the root canal treating device according to the second embodiment. ハンドピースの外に設けた制御ボックスとコードで接続された根管治療器の構成を示す概略図である。It is the schematic which shows the structure of the root canal treatment device connected with the control box provided in the exterior of the handpiece with the cord.
 (概要)
 根管を切削拡大する治療は、人により根管が湾曲している程度や根管が石灰化して閉塞している状況などが異なっており、非常に難しい治療である。歯科用治療装置である根管治療器を用いて根管を切削拡大する場合において、根管口から根尖位置に至るまでの根管を切削拡大する必要があるが、根尖位置を超えて切削拡大することを防止する技術が知られている。
(Overview)
The treatment of cutting and enlarging the root canal is a very difficult treatment because the degree to which the root canal is curved and the condition in which the root canal is calcified and blocked depending on the person. When cutting and enlarging the root canal using a root canal treatment device that is a dental treatment device, it is necessary to cut and expand the root canal from the root canal opening to the apex position, but beyond the apex position. Techniques for preventing cutting and enlarging are known.
 具体的に、根管治療器は、根管長測定回路を用いて根尖位置に切削工具の先端が到達したと判断した場合、切削工具の駆動を正転駆動から逆転駆動に切換えて、根尖位置を超えて切削拡大することを防止する。ここで、正転駆動は、切削対象物である根管壁を切削する方向の駆動で、第1切削工具の場合、時計回り方向の駆動である。逆転駆動は、正転駆動の逆方向の駆動で、第1切削工具の場合、反時計回り方向の駆動である。第1切削工具は、時計回り方向の駆動で切削を行うように刃が形成されているので、時計回り方向の駆動を正転駆動として駆動すると、ネジが食い込んでいくように根尖位置に近付く方向に切削工具の先端が進む。逆に、当該第1切削工具は、反時計回り方向の駆動を逆転駆動として駆動すると、ネジを緩めるように根尖位置から遠ざかる方向に切削工具の先端が進む。 Specifically, when the root canal treatment device determines that the tip of the cutting tool has reached the apex position using the root canal length measurement circuit, it switches the driving of the cutting tool from forward rotation drive to reverse rotation drive, Prevents cutting and enlarging beyond the pointed position. Here, the normal rotation drive is drive in the direction of cutting the root canal wall that is the object to be cut, and is the clockwise drive in the case of the first cutting tool. The reverse rotation drive is a reverse drive of the normal rotation drive, and is a counterclockwise drive in the case of the first cutting tool. Since the first cutting tool has the blade formed so as to perform cutting by driving in the clockwise direction, when the driving in the clockwise direction is driven as the forward rotation drive, the screw approaches the root apex position as if to bite. The tip of the cutting tool advances in the direction. On the contrary, when the first cutting tool is driven in the counterclockwise direction as reverse driving, the tip of the cutting tool advances in a direction away from the apex position so as to loosen the screw.
 しかし、根管治療器のヘッド部に取り付けできる切削工具には、時計回り方向の駆動で切削を行うように刃が形成された第1切削工具以外に、反時計回り方向の駆動で切削を行うように刃が形成された第2切削工具がある。第2切削工具は、反時計回り方向の駆動で切削を行うように刃が形成されているので、反時計回り方向の駆動を正転駆動として駆動すると根尖位置に近付く方向に切削工具の先端が進む。逆に、当該第2切削工具は、時計回り方向の駆動を逆転駆動として駆動すると根尖位置から遠ざかる方向に切削工具の先端が進む。そのため、第1切削工具を根管治療器のヘッド部に取り付けたつもりで第2切削工具が取り付けた場合、使用者が意図しない動作(異常動作)となる。つまり、根管治療器は、根尖位置に切削工具の先端が到達したと判断して逆転駆動で切削工具を駆動すると、切削工具の先端が根尖位置から遠ざかるのではなく、逆に根尖位置の方向にさらに進み使用者が意図しない動作となる。 However, the cutting tools that can be attached to the head portion of the root canal treatment device perform the cutting in the counterclockwise direction in addition to the first cutting tool in which the blade is formed so as to perform the cutting in the clockwise direction. There is a second cutting tool having a blade formed therein. Since the second cutting tool has the blade formed so as to perform cutting by driving in the counterclockwise direction, when the driving in the counterclockwise direction is driven as forward rotation driving, the tip of the cutting tool approaches the apex position. Advances. On the contrary, in the second cutting tool, when the clockwise driving is driven as the reverse driving, the tip of the cutting tool advances in the direction away from the apex position. Therefore, when the second cutting tool is attached with the intention that the first cutting tool is attached to the head portion of the root canal treating device, the operation is not intended by the user (abnormal operation). In other words, if the tip of the cutting tool determines that the tip of the cutting tool has reached the apex position and drives the cutting tool with the reverse rotation drive, the tip of the cutting tool does not move away from the apex position but rather the apex of the apex. The operation further proceeds in the direction of the position, and the operation is not intended by the user.
 そこで、本明細書において説明する根管治療器では、根尖位置に切削工具の先端が到達したと判断して逆転駆動で切削工具を駆動した場合に、根尖位置の方向にさらに進む動作が行われると異常動作と判断して駆動を停止する2段階制御が行われる。なお、第2切削工具を根管治療器のヘッド部に取り付けたつもりで第1切削工具が取り付けられた場合、根管治療器での駆動の方向と正転駆動および逆転駆動との関係が逆となる。 Therefore, in the root canal treatment device described in this specification, when it is determined that the tip of the cutting tool has reached the apex position and the cutting tool is driven by the reverse rotation drive, the operation of further advancing toward the apex position is performed. If it is performed, two-step control is performed to determine that the operation is abnormal and stop the driving. When the first cutting tool is attached with the intention that the second cutting tool is attached to the head portion of the root canal treating device, the relationship between the driving direction of the root canal treating device and the normal rotation driving and the reverse rotation driving is reversed. Becomes
 また、根管治療器では、単純な正転駆動、逆転駆動だけでなく、正転駆動と逆転駆動とを組み合わせたツイスト駆動で切削工具を駆動することができる。根管治療器は、第1切削工具をツイスト駆動する場合、時計回り方向の回転角度を反時計回り方向の回転角度よりも大きくしたツイスト駆動で駆動することで根管を効率よく切削することができる。さらに、根管治療器は、第2切削工具をツイスト駆動する場合、反時計回り方向の回転角度を時計回り方向の回転角度よりも大きくしたツイスト駆動で駆動することで根管を効率よく切削することができる。ツイスト駆動で切削工具を駆動する場合、必ず時計回り方向の駆動と反時計回り方向の駆動とが含まれるので、使用者は誤った切削工具が根管治療器のヘッド部に取り付けられていることに気付きにくい。 In addition, in the root canal treatment device, the cutting tool can be driven not only by simple forward drive and reverse drive, but also by twist drive that combines forward drive and reverse drive. When the first cutting tool is driven by twisting, the root canal treating device can efficiently cut the root canal by driving the first cutting tool by twist driving in which the rotation angle in the clockwise direction is larger than the rotation angle in the counterclockwise direction. it can. Further, in the root canal treating device, when the second cutting tool is driven by twisting, the root canal is efficiently cut by driving with a twist drive in which the rotation angle in the counterclockwise direction is larger than the rotation angle in the clockwise direction. be able to. When the cutting tool is driven by twist drive, the driving in the clockwise direction and the drive in the counterclockwise direction are always included, so the user should make sure that the wrong cutting tool is attached to the head part of the root canal treating device. Is hard to notice.
 なお、本明細書では、時計回り方向の駆動、および時計回り方向の駆動の回転角度を反時計回り方向の駆動の回転角度よりも大きくしたツイスト駆動を含む駆動を、主として時計回り駆動と称し、反時計回り方向の駆動、および反時計回り方向の駆動の回転角度を時計回り方向の駆動の回転角度よりも大きくしたツイスト駆動を含む駆動を、主として反時計回り駆動と称す。また、第1切削工具を時計回り駆動する場合に正転駆動、第1切削工具を反時計回り駆動する場合に逆転駆動、第2切削工具を反時計回り駆動する場合に正転駆動、第2切削工具を時計回り駆動する場合に逆転駆動と称す。 In the present specification, driving including clockwise driving and twist driving in which the rotation angle of clockwise driving is larger than the rotation angle of counterclockwise driving is mainly referred to as clockwise driving, The drive including the counterclockwise drive and the twist drive in which the rotation angle of the counterclockwise drive is larger than the rotation angle of the clockwise drive is mainly referred to as counterclockwise drive. Further, when the first cutting tool is driven in the clockwise direction, it is driven in the normal direction, when the first cutting tool is driven in the counterclockwise direction, it is driven in the reverse direction, and when the second cutting tool is driven in the counterclockwise direction, it is driven in the normal direction. When the cutting tool is driven clockwise, it is called reverse rotation drive.
 このように、本明細書において説明する根管治療器では、切削工具の先端が根尖位置に到達した場合に行う正転駆動から逆転駆動への制御と、ヘッド部に取り付けた切削工具の誤りにより逆転制御を行った場合に異常動作が起こるのを防止するためのフェールセーフ(fail safe)制御との2段階制御について、以下、図を用いて具体的な実施の形態について詳しく説明する。 As described above, in the root canal treatment device described in the present specification, the control from the normal rotation drive to the reverse rotation drive performed when the tip of the cutting tool reaches the root apex position and the error of the cutting tool attached to the head part are performed. With regard to the two-step control including the fail safe control for preventing the abnormal operation from occurring when the reverse rotation control is performed by the following, specific embodiments will be described in detail below with reference to the drawings.
 (実施の形態1)
 図1は、本実施の形態1に係る根管治療器100の構成を示す概略図である。図2は、本実施の形態1に係る根管治療器の機能の構成を示すブロック図である。なお、本実施の形態1に係る歯科用治療装置は、歯科用根管治療のためのハンドピース1に根管拡大および根管長測定などのシステムを含めて根管治療器100として説明する。しかし、本発明に係る歯科用治療装置は、根管治療器100に限定されるものではなく、同様の構成を有する歯科用治療装置について適用することができる。
(Embodiment 1)
FIG. 1 is a schematic diagram showing the configuration of a root canal treating device 100 according to the first embodiment. FIG. 2 is a block diagram showing a functional configuration of the root canal treating device according to the first embodiment. The dental treatment device according to the first embodiment will be described as a root canal treating device 100 including a handpiece 1 for dental root canal treatment, including a system such as root canal expansion and root canal length measurement. However, the dental treatment device according to the present invention is not limited to the root canal treating device 100, and can be applied to a dental treatment device having a similar configuration.
 図1に示す根管治療器100は、歯科用根管治療のためのハンドピース1、モータユニット6、制御ボックス9をハンドピース1の内部に含んでいる。つまり、図1に示す根管治療器100は、ハンドピース1が、ホースを介して、制御ボックスに連結されている構成ではなく、コードレスタイプの根管治療器である。 The root canal treating device 100 shown in FIG. 1 includes a handpiece 1, a motor unit 6, and a control box 9 for dental root canal treatment inside the handpiece 1. That is, the root canal treating device 100 shown in FIG. 1 is a cordless type root canal treating device, not the configuration in which the handpiece 1 is connected to the control box via the hose.
 歯科用根管治療のハンドピース1は、ヘッド部2と、ヘッド部2に連接される細径のネック部3と、該ネック部3に連接され手指によって把持される把持部4とを備えている。そして、把持部4には、ヘッド部2に保持される切削工具5(ファイル或いはリーマなど)を回転駆動させるためのモータユニット6や制御ボックス9を内蔵している。 A handpiece 1 for dental root canal treatment includes a head portion 2, a neck portion 3 having a small diameter connected to the head portion 2, and a grip portion 4 connected to the neck portion 3 and gripped by a finger. There is. The grip unit 4 has a motor unit 6 and a control box 9 for rotating the cutting tool 5 (file or reamer) held by the head unit 2 therein.
 モータユニット6は、図2に示すようにマイクロモータ7を内蔵し、該マイクロモータ7へ電源を供給する電源供給用リード線71および、後述する根管長測定回路12へ信号を伝送する信号用リード線8などを介して、制御ボックス9に接続してある。ここで、信号用リード線8は、モータユニット6及びハンドピース1内を経て切削工具5と電気的に導通し、電気信号を伝達する導電体の一部である。なお、切削工具5は、根管長測定回路12の一方の電極となる。 The motor unit 6 has a built-in micromotor 7 as shown in FIG. 2, a power supply lead wire 71 for supplying power to the micromotor 7, and a signal for transmitting a signal to a root canal length measuring circuit 12 described later. It is connected to the control box 9 via a lead wire 8 and the like. Here, the signal lead wire 8 is a part of a conductor that is electrically connected to the cutting tool 5 through the motor unit 6 and the handpiece 1 and transmits an electric signal. The cutting tool 5 serves as one electrode of the root canal length measuring circuit 12.
 制御ボックス9は、制御部11、比較回路110、根管長測定回路12、モータドライバ13、設定部14、操作部15、表示部16および報知部17などを備えている。なお、リード線19は、図1に図示していないが、たとえば把持部4より導出するよう構成してもよい。リード線19は、一方を根管長測定回路12に連結し、他方の先端に患者の唇に掛けられる口腔電極19aを電気的に導通する状態で取付けてある。なお、口腔電極19aは、根管長測定回路12の他方の電極となる。 The control box 9 includes a control unit 11, a comparison circuit 110, a root canal length measurement circuit 12, a motor driver 13, a setting unit 14, an operation unit 15, a display unit 16 and a notification unit 17. Although not shown in FIG. 1, the lead wire 19 may be led out from the grip portion 4, for example. One of the lead wires 19 is connected to the root canal length measuring circuit 12, and the other end of the lead wire 19 is attached with an oral electrode 19a to be hung on the lips of the patient in an electrically conductive state. The oral cavity electrode 19a serves as the other electrode of the root canal length measuring circuit 12.
 制御部11は、根管拡大及び根管長測定システム全体の制御を行うもので、主要部はマイクロコンピュータで構成されている。制御部11には、比較回路110、根管長測定回路12、モータドライバ13、設定部14、操作部15、表示部16、および報知部17を接続してある。制御部11は、切削対象物を切削する切削工具5の回転方向を制御している。具体的に、制御部11は、駆動シーケンスに従い、切削工具5を時計回り(右回りともいう)方向に回転させる時計回り駆動、および切削工具5を反時計回り(左回りともいう)方向に回転させる反時計回り駆動のいずれかの制御を行う。ここで、切削工具の回す方向(時計回り方向や反時計回り方向)は、ヘッド部2に取付ける切削工具5の側から切削工具5の先端方向を向いた場合を基準に考えるものとする。さらに、制御部11は、時計回りの回転角度、回転速度、あるいは回転角速度(回転数)、反時計回りの回転角度、回転速度、あるいは回転角速度(回転数)、繰り返し数のそれぞれのパラメータを変更して、切削工具5を回転させる駆動の制御を行うことができる。 The control unit 11 controls the entire root canal lengthening and root canal length measuring system, and its main part is composed of a microcomputer. The control unit 11 is connected with a comparison circuit 110, a root canal length measuring circuit 12, a motor driver 13, a setting unit 14, an operation unit 15, a display unit 16, and an informing unit 17. The control unit 11 controls the rotation direction of the cutting tool 5 that cuts the object to be cut. Specifically, the control unit 11 drives the cutting tool 5 in a clockwise direction (also referred to as a clockwise direction) and rotates the cutting tool 5 in a counterclockwise (also referred to as a counterclockwise) direction in accordance with a drive sequence. Either of the counterclockwise drive controls is performed. Here, the turning direction of the cutting tool (clockwise direction or counterclockwise direction) is considered based on the case where the tip direction of the cutting tool 5 faces from the side of the cutting tool 5 attached to the head portion 2. Further, the control unit 11 changes each parameter of the clockwise rotation angle, the rotation speed, or the rotation angular velocity (rotation speed), the counterclockwise rotation angle, the rotation speed or the rotation angular velocity (rotation speed), and the number of repetitions. Then, the drive control for rotating the cutting tool 5 can be performed.
 ここで、回転角度は、切削工具5を時計回り方向または反時計回り方向に回す大きさを表す回転量であり、回転回数や回転角速度(回転数)を一定にした場合の回転時間(駆動期間ともいう)などで規定してもよい。また、回転角度は、駆動電流量やトルク量などの切削工具5の駆動に関連する量で規定してもよい。厳密には切削工具やモータのかかる負荷によって、たとえば制御上の回転時間と実際の回転角度とは対応関係を補正しなければならない場合があるが、補正量は極めて小さく本発明の実施においては無視することができる。 Here, the rotation angle is a rotation amount that represents the size of turning the cutting tool 5 in the clockwise direction or the counterclockwise direction, and the rotation time (driving period when the number of rotations and the rotational angular velocity (rotation number) are constant. Also referred to as). Further, the rotation angle may be defined by an amount related to the driving of the cutting tool 5, such as a driving current amount or a torque amount. Strictly speaking, depending on the load applied to the cutting tool and the motor, for example, the correspondence between the rotation time for control and the actual rotation angle may have to be corrected, but the correction amount is extremely small and ignored in the practice of the present invention. can do.
 比較回路110は、切削工具5に加わる負荷を検出するために必要な構成であり、当該負荷の検出が必要な場合に選択して設けることが可能な構成である。比較回路110は、モータドライバ13により切削工具5を時計回り方向または反時計回り方向に回転させているいずれかの時点で、負荷の比較を行うことが可能である。具体的に、比較回路110は、切削工具5を時計回り方向または反時計回り方向に所定の回転角度(たとえば180度)回転させた後に、切削工具5に加わる負荷と基準負荷とを比較することができる。 The comparison circuit 110 is a configuration necessary to detect the load applied to the cutting tool 5, and can be selectively provided when the load needs to be detected. The comparison circuit 110 can compare the loads at any time when the motor driver 13 rotates the cutting tool 5 in the clockwise direction or the counterclockwise direction. Specifically, the comparison circuit 110 compares the load applied to the cutting tool 5 with the reference load after rotating the cutting tool 5 in the clockwise direction or the counterclockwise direction by a predetermined rotation angle (for example, 180 degrees). You can
 根管長測定回路12は、切削工具5の先端の根管内での位置を検出するために必要な構成であり、当該位置の検出が必要な場合に選択して設けることが可能な構成である。根管長測定回路12は、根管内に挿入した切削工具5を一方の電極、患者の唇に掛けた口腔電極19aを他方の電極として閉回路を構成する。そして、根管長測定回路12は、切削工具5と口腔電極19aとの間に測定電圧を印加し、切削工具5と口腔電極19aとの間のインピーダンスを計測することによって、歯の根尖位置から切削工具5の先端までの距離を測定することができる。切削工具5の先端が根尖位置に到達したことを根管長測定回路12が検出したとき、切削工具の挿入量、すなわち根管口から切削工具の先端までの距離を根管長とすることができる。なお、切削工具5と口腔電極19aとの間のインピーダンスを計測して、根管長を測定する電気的根管長測定方法は公知のものであり、実施の形態1に係る根管治療器100には、公知になっているすべての電気的根管長測定方法を適用することができる。 The root canal length measuring circuit 12 is a structure necessary for detecting the position of the tip of the cutting tool 5 in the root canal, and can be selectively provided when the position needs to be detected. is there. The root canal length measuring circuit 12 constitutes a closed circuit using the cutting tool 5 inserted into the root canal as one electrode and the oral cavity electrode 19a hung on the lips of the patient as the other electrode. Then, the root canal length measuring circuit 12 applies a measurement voltage between the cutting tool 5 and the oral cavity electrode 19a and measures the impedance between the cutting tool 5 and the oral cavity electrode 19a to determine the apex position of the tooth. The distance from to the tip of the cutting tool 5 can be measured. When the root canal length measuring circuit 12 detects that the tip of the cutting tool 5 has reached the root apex position, the insertion amount of the cutting tool, that is, the distance from the root canal to the tip of the cutting tool is set as the root canal length. You can The electrical root canal length measuring method for measuring the root canal length by measuring the impedance between the cutting tool 5 and the oral cavity electrode 19a is a known method, and the root canal treating device 100 according to the first embodiment. For this, all known methods for measuring the electric root canal length can be applied.
 モータドライバ13は、電源供給用リード線71を介してマイクロモータ7に接続し、制御部11からの制御信号に基づいて、マイクロモータ7に供給する電源を制御している。モータドライバ13は、マイクロモータ7に供給する電源を制御することで、マイクロモータ7の回転方向、回転数および回転角度など、つまり切削工具5の回転方向、回転数および回転角度などを制御することができる。なお、主にマイクロモータ7およびモータドライバ13により駆動部を構成している。 The motor driver 13 is connected to the micromotor 7 via a power supply lead wire 71, and controls the power supplied to the micromotor 7 based on a control signal from the control unit 11. The motor driver 13 controls the power supply to the micromotor 7 to control the rotation direction, the rotation speed and the rotation angle of the micromotor 7, that is, the rotation direction, the rotation speed and the rotation angle of the cutting tool 5. You can The driving unit is mainly composed of the micromotor 7 and the motor driver 13.
 設定部14は、把持部4の表面に設定変更するための選択ボタン15b(図1参照)を有しており、当該選択ボタン15bを操作することで切削工具5の回転方向、回転数および回転角度などを制御する基準を設定する。また、設定部14は、切削工具5の回転数および回転角度のパラメータを設定する他、根管長測定を行うか否かの選択なども設定することができる。さらに、設定部14は、切削工具5に加わる負荷と比較回路110おいて比較する切換基準(駆動シーケンス、または駆動パターンのパラメータを切換えるための基準)、基準負荷、タイミングなどを設定する。 The setting unit 14 has a selection button 15b (see FIG. 1) for changing the setting on the surface of the gripping unit 4, and by operating the selection button 15b, the rotation direction, rotation speed, and rotation of the cutting tool 5 can be obtained. Set the standard to control the angle. Further, the setting unit 14 can set parameters such as the rotation speed and the rotation angle of the cutting tool 5, as well as setting whether or not to perform root canal length measurement. Further, the setting unit 14 sets a switching reference (a reference for switching a drive sequence or a parameter of a drive pattern), a reference load, a timing and the like to be compared with the load applied to the cutting tool 5 in the comparison circuit 110.
 操作部15は、把持部4の表面に駆動開始・停止ボタン15a(図1参照)を有しており、当該駆動開始・停止ボタン15aを操作することで切削工具5の駆動を開始または停止することができる。つまり、切削工具5の駆動が停止しているときに駆動開始・停止ボタン15aを操作すると、操作部15は、制御部11に対して切削工具5の駆動を開始する指示信号を送信する。切削工具5の駆動中に駆動開始・停止ボタン15aを操作すると、操作部15は、制御部11に対して切削工具5の駆動を停止する指示信号を送信する。ここで、切削工具5の駆動中とは、駆動開始・停止ボタン15aの操作によって切削工具5の駆動が開始されてから駆動が停止するまでの期間をいう。そのため、検出した負荷が基準負荷以上となって強制的に切削工具5の駆動が停止したときは、駆動開始・停止ボタン15aの操作によって切削工具5の駆動を停止していないので、まだ切削工具5の駆動中に含まれるものとする。 The operation portion 15 has a drive start/stop button 15a (see FIG. 1) on the surface of the grip portion 4, and the drive of the cutting tool 5 is started or stopped by operating the drive start/stop button 15a. be able to. That is, when the drive start/stop button 15 a is operated while the driving of the cutting tool 5 is stopped, the operation unit 15 transmits an instruction signal to start the driving of the cutting tool 5 to the control unit 11. When the drive start/stop button 15a is operated while the cutting tool 5 is being driven, the operation unit 15 sends an instruction signal for stopping the driving of the cutting tool 5 to the control unit 11. Here, the driving of the cutting tool 5 refers to a period from when the driving of the cutting tool 5 is started by the operation of the driving start/stop button 15a to when the driving is stopped. Therefore, when the detected load exceeds the reference load and the drive of the cutting tool 5 is forcibly stopped, the drive of the cutting tool 5 is not stopped by the operation of the drive start/stop button 15a. 5 is included during driving.
 表示部16は、根管内での切削工具5の先端の位置や切削工具5の回転方向、回転数および回転角度などを表示する。さらに、報知部17が使用者に対して報知するための情報を、表示部16に表示することもできる。コードレスタイプの根管治療器100では、把持部4に表示部16が設けてある。そのため、使用者は、視線を大きく変えることなく、切削工具5を切削方向に駆動しているのか、非切削方向に駆動しているのか、現在の切削工具5の位置はどの程度か、切削工具5にかかっている負荷はどの程度か、回転数はいくらか、といった情報を確認することができる。 The display unit 16 displays the position of the tip of the cutting tool 5 in the root canal, the rotation direction of the cutting tool 5, the rotation speed, the rotation angle, and the like. Furthermore, the information for the notification unit 17 to notify the user can be displayed on the display unit 16. In the cordless type root canal treating device 100, the grasping part 4 is provided with the display part 16. Therefore, the user is driving the cutting tool 5 in the cutting direction or in the non-cutting direction without greatly changing the line of sight, the current position of the cutting tool 5, and the cutting tool. It is possible to confirm information such as the load applied to 5 and the number of rotations.
 報知部17は、現在、制御部11で行っている切削工具5の駆動状態を、光、音や振動などにより報知する。具体的に、報知部17は、切削工具5の駆動状態を報知するために、必要に応じてLED(Light Emitting Diode),スピーカーや振動子などを設け、時計回り方向の駆動と反時計回り方向の駆動とで発光するLEDの色を変えたり、スピーカーから出力する音を変えたりする。なお、報知部17は、表示部16で、使用者に対して切削工具5の駆動状態を表示することができる場合、LED,スピーカーや振動子など別途設けなくてもよい。 The notification unit 17 notifies the drive state of the cutting tool 5 currently performed by the control unit 11 by light, sound, vibration, or the like. Specifically, the notification unit 17 is provided with an LED (Light Emitting Diode), a speaker, a vibrator, and the like as necessary to notify the driving state of the cutting tool 5, and drives clockwise and counterclockwise. Driving changes the color of the LED that emits light and the sound output from the speaker. If the display unit 16 can display the driving state of the cutting tool 5 to the user on the display unit 16, the notification unit 17 does not need to be separately provided with an LED, a speaker, a vibrator, or the like.
 次に、切削工具5の駆動制御を行う根管治療器100の回路構成について、さらに詳しく説明する。図3は、本実施の形態1に係る根管治療器100の回路構成を示す回路図である。図3に示す根管治療器100には、切削工具5の駆動制御に関わるマイクロモータ7、制御部11、比較回路110、根管長測定回路12、モータドライバ13、および設定部14の部分について図示してある。 Next, the circuit configuration of the root canal treating device 100 that controls the driving of the cutting tool 5 will be described in more detail. FIG. 3 is a circuit diagram showing a circuit configuration of the root canal treating device 100 according to the first embodiment. In the root canal treating device 100 shown in FIG. 3, the parts of the micromotor 7, the control unit 11, the comparison circuit 110, the root canal length measuring circuit 12, the motor driver 13, and the setting unit 14 which are related to the drive control of the cutting tool 5. It is shown.
 さらに、モータドライバ13は、トランジスタスイッチ13a、トランジスタドライバ回路13b、回転方向切換スイッチ13c、および負荷検出用抵抗13dを含んでいる。なお、回転方向切換スイッチ13cは、リレー素子として説明するが、FETなどの半導体のスイッチ素子でモータ駆動回路を構成してもよい。設定部14は、基準負荷設定用の可変抵抗14a、デューティ設定用の可変抵抗14b、および基準位置設定用の可変抵抗14cを含んでいる。なお、設定部14には、比較回路110において検出した負荷と基準負荷とを比較するタイミングを示す回転角度(または回転時間)を設定する構成なども含まれるが、当該構成については図3に図示していない。また、図3に示す根管治療器100には、主電源20およびメインスイッチ21に接続してある。切削工具5は、図示していないが適宜の歯車機構等を介してマイクロモータ7に保持してある。 Further, the motor driver 13 includes a transistor switch 13a, a transistor driver circuit 13b, a rotation direction changeover switch 13c, and a load detection resistor 13d. The rotation direction change-over switch 13c is described as a relay element, but the motor drive circuit may be configured by a semiconductor switch element such as an FET. The setting unit 14 includes a variable resistor 14a for setting a reference load, a variable resistor 14b for setting a duty, and a variable resistor 14c for setting a reference position. The setting unit 14 also includes a configuration for setting a rotation angle (or a rotation time) indicating a timing at which the load detected by the comparison circuit 110 and the reference load are compared. The configuration is shown in FIG. Not shown. The root canal treating device 100 shown in FIG. 3 is connected to a main power source 20 and a main switch 21. Although not shown, the cutting tool 5 is held by the micromotor 7 via an appropriate gear mechanism or the like.
 トランジスタドライバ回路13bは、制御部11のポート11aから出力する制御信号で作動し、トランジスタスイッチ13aのオン・オフを制御してマイクロモータ7を駆動する。マイクロモータ7は、回転方向切換スイッチ13cの状態に応じて時計回り方向または反時計回り方向に回転する。制御部11のポート11aから出力する制御信号が、たとえば一定の周期で繰返されるパルス波形である場合、そのパルス波形の幅、すなわちデューティ比は、設定部14のデューティ設定用の可変抵抗14bによって調整される。マイクロモータ7は、このデューティ比に対応した回転数で切削工具5を駆動する。 The transistor driver circuit 13b operates by a control signal output from the port 11a of the control unit 11, and controls the on/off of the transistor switch 13a to drive the micromotor 7. The micromotor 7 rotates clockwise or counterclockwise depending on the state of the rotation direction changeover switch 13c. When the control signal output from the port 11a of the control unit 11 has, for example, a pulse waveform repeated at a constant cycle, the width of the pulse waveform, that is, the duty ratio is adjusted by the variable resistor 14b for setting the duty of the setting unit 14. To be done. The micromotor 7 drives the cutting tool 5 at a rotation speed corresponding to this duty ratio.
 回転方向切換スイッチ13cは、制御部11のポート11bから出力する制御信号で、切削工具5を時計回り方向に駆動するか、反時計回り方向に駆動するかを切換える。制御部11は、ポート11cに入力される負荷検出用抵抗13dの電流量(または電圧値)に基づき、切削工具5に加わる負荷を検出する。そのため、負荷検出用抵抗13dは、切削工具5に加わる負荷を検出する負荷検出部として機能している。なお、負荷検出部は、負荷検出用抵抗13dの電流量(または電圧値)に基づいて切削工具5に加わる負荷を検出する構成に限定されるものではなく、たとえば切削工具5の駆動部分にトルクセンサを設けて切削工具5に加わる負荷を検出する構成など別の構成であってもよい。検出される負荷は、たとえば切削工具5に加わるトルク値に制御部11で換算され、表示部16に表示される。また、比較回路110では、制御部11で換算されたトルク値と、基準負荷設定用の可変抵抗14aを用いて設定したトルク値とを比較している。もちろん、比較回路110は、トルク値に換算せずに負荷検出用抵抗13dの電流量(または電圧値)と可変抵抗14aの電流量(または電圧値)とを直接比較する構成でもよい。 The rotation direction changeover switch 13c is a control signal output from the port 11b of the control unit 11 and switches whether to drive the cutting tool 5 clockwise or counterclockwise. The control unit 11 detects the load applied to the cutting tool 5 based on the amount of current (or voltage value) of the load detection resistor 13d input to the port 11c. Therefore, the load detection resistor 13d functions as a load detection unit that detects the load applied to the cutting tool 5. The load detection unit is not limited to a configuration in which the load applied to the cutting tool 5 is detected based on the amount of current (or voltage value) of the load detection resistor 13d. For example, a torque is applied to the drive portion of the cutting tool 5. Another configuration such as a configuration in which a sensor is provided to detect the load applied to the cutting tool 5 may be used. The detected load is converted into a torque value applied to the cutting tool 5 by the control unit 11 and displayed on the display unit 16, for example. Further, the comparison circuit 110 compares the torque value converted by the control unit 11 with the torque value set by using the reference load setting variable resistor 14a. Of course, the comparison circuit 110 may be configured to directly compare the current amount (or voltage value) of the load detection resistor 13d and the current amount (or voltage value) of the variable resistor 14a without converting the torque value.
 さらに、制御部11は、根管長測定回路12で測定した根管長をポート11dに入力する。そのため、根管長測定回路12は、切削工具5の先端の根管内での位置を検出する位置検出部として機能している。また、制御部11は、負荷検出部で検出した切削工具5に加わる負荷をポート11eから比較回路110へ出力し、比較回路110が基準負荷と比較した比較結果をポート11eから入力する。そのため、比較回路110は、負荷検出部で検出した負荷と基準負荷とを比較する負荷比較部として機能している。なお、制御部11は、上記アナログ回路で説明した構成を、ひとつのマイクロコンピュータにソフトウェアとしてまとめてもよい。 Further, the control unit 11 inputs the root canal length measured by the root canal length measuring circuit 12 into the port 11d. Therefore, the root canal length measuring circuit 12 functions as a position detector that detects the position of the tip of the cutting tool 5 in the root canal. Further, the control unit 11 outputs the load applied to the cutting tool 5 detected by the load detection unit from the port 11e to the comparison circuit 110, and the comparison result obtained by the comparison circuit 110 comparing with the reference load is input from the port 11e. Therefore, the comparison circuit 110 functions as a load comparison unit that compares the load detected by the load detection unit and the reference load. The control unit 11 may combine the configuration described in the analog circuit as software in one microcomputer.
 図4は、切削工具5の回転方向を示した模式図である。図4に示す切削工具5の回転方向では、ヘッド部2に取付ける切削工具5の側から切削工具5の先端方向を向いて切削工具5を右回りに回転させる時計回り方向5aの方向の駆動と、左回りに回転させる反時計回り方向5bの方向の駆動とが図示されている。なお、予め定められた回転角度で時計回り方向5aに切削工具5を回転させる駆動と、予め定められた回転角度で反時計回り方向5bに切削工具5を回転させる駆動とを交互に行う駆動が、ツイスト駆動である。なお、ツイスト駆動では、時計回り方向と反時計回り方向との交互回転を、等しい駆動量に行うものであってもよいし、異なる駆動量だけ行うものであってもよい。 FIG. 4 is a schematic diagram showing the rotation direction of the cutting tool 5. In the rotation direction of the cutting tool 5 shown in FIG. 4, driving in a clockwise direction 5a that turns the cutting tool 5 clockwise from the side of the cutting tool 5 attached to the head portion 2 toward the tip direction of the cutting tool 5 is performed. , Driving counterclockwise to rotate counterclockwise 5b is shown. In addition, the drive for rotating the cutting tool 5 in the clockwise direction 5a at the predetermined rotation angle and the drive for rotating the cutting tool 5 in the counterclockwise direction 5b at the predetermined rotation angle are alternately performed. , Twist drive. In the twist drive, alternate rotations in the clockwise direction and the counterclockwise direction may be performed with the same drive amount or may be performed with different drive amounts.
 [2段階制御]
 次に、本実施の形態1に係る根管治療器100における2段階制御について説明する。図5は、本実施の形態1に係る根管治療器100の制御部11での制御の流れを説明するためのブロック図である。制御部11は、切削工具5を駆動する制御として正転制御111、逆転制御112、フェールセーフ制御113の3つの制御を有している。正転制御111は、根管を切削拡大するために切削工具5を正転駆動する制御である。つまり、正転制御111では、たとえば、ヘッド部2に第1切削工具が取り付けられている場合、切削工具5を主として時計回り駆動に制御し、ヘッド部2に第2切削工具が取り付けられている場合、切削工具5を主として反時計回り駆動に制御する。
[Two-step control]
Next, the two-step control in the root canal treating device 100 according to the first embodiment will be described. FIG. 5 is a block diagram for explaining a control flow in the control unit 11 of the root canal treating device 100 according to the first embodiment. The control unit 11 has three controls, namely, a forward rotation control 111, a reverse rotation control 112, and a fail-safe control 113, as controls for driving the cutting tool 5. The forward rotation control 111 is control for driving the cutting tool 5 in the forward direction to cut and enlarge the root canal. That is, in the forward rotation control 111, for example, when the first cutting tool is attached to the head part 2, the cutting tool 5 is mainly controlled to be driven clockwise, and the second cutting tool is attached to the head part 2. In this case, the cutting tool 5 is mainly controlled to drive counterclockwise.
 制御部11は、正転制御111で切削工具5を駆動して根管の切削拡大を行っているときに、根管長測定回路12が基準位置(たとえば、根尖位置)への切削工具5の先端の到達を検出する場合、正転制御111から逆転制御112に制御を移行する。逆転制御112は、正転駆動を逆転駆動に駆動を反転させる制御である。つまり、逆転制御112は、たとえば、ヘッド部2に第1切削工具が取り付けられている場合、切削工具5の駆動を主として反時計回り駆動に制御し、ヘッド部2に第2切削工具が取り付けられている場合、切削工具5の駆動を主として時計回り駆動に制御する。なお、基準位置は、たとえば、根尖位置に設定される以外に、根管内で使用者が予め設定した位置であってもよい。 The control unit 11 causes the root canal length measuring circuit 12 to move the cutting tool 5 to the reference position (for example, the apex position) while driving the cutting tool 5 by the forward rotation control 111 to perform cutting and enlarging the root canal. When detecting the arrival of the leading edge of, the control shifts from the forward rotation control 111 to the reverse rotation control 112. The reverse rotation control 112 is a control that reverses the drive from the normal drive to the reverse drive. That is, for example, when the first cutting tool is attached to the head unit 2, the reverse rotation control 112 controls the driving of the cutting tool 5 mainly to the counterclockwise drive, and the second cutting tool is attached to the head unit 2. If the cutting tool 5 is driven, the driving of the cutting tool 5 is mainly controlled to be clockwise. The reference position may be, for example, a position preset by the user in the root canal other than being set at the apex position.
 切削工具5は、正転駆動することで根管を切削拡大しながら、根尖位置に近付く方向に切削工具5の先端が進み、逆転駆動すると基準位置から遠ざかる方向に切削工具5の先端が進むことになる。そのため、逆転制御112は、切削工具5を逆転駆動することで基準位置から遠ざかる方向に駆動を制御していることになる。切削工具5を逆転駆動することで、根管長測定回路12が基準位置の位置への切削工具5の先端の未到達を検出する場合、逆転制御112から正転制御111に制御を戻すことができる。 The tip of the cutting tool 5 advances in a direction approaching the root apex while cutting and enlarging the root canal by driving in the forward direction, and the tip of the cutting tool 5 advances in a direction away from the reference position when driven in the reverse direction. It will be. Therefore, the reverse rotation control 112 controls the drive in the direction away from the reference position by driving the cutting tool 5 in the reverse direction. When the root canal length measuring circuit 12 detects that the tip of the cutting tool 5 has not reached the reference position by driving the cutting tool 5 in the reverse direction, the control can be returned from the reverse control 112 to the forward control 111. it can.
 しかし、ヘッド部2に取り付けた切削工具5が誤っていた場合、逆転制御112で切削工具5を逆転駆動しても、さらに根尖位置の方向に切削工具5の先端が進むことになる。そこで、逆転制御112で切削工具5を逆転駆動するときに、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出する場合、異常動作を検出したとして、逆転制御112からフェールセーフ制御113に制御が移行する。 However, if the cutting tool 5 attached to the head unit 2 is incorrect, even if the reverse rotation control 112 drives the cutting tool 5 in the reverse direction, the tip of the cutting tool 5 further advances toward the apex position. Therefore, when the root canal length measuring circuit 12 detects the movement of the tip of the cutting tool 5 in the direction of the root apex when the cutting tool 5 is reversely driven by the reverse rotation control 112, it is determined that an abnormal operation is detected, and the reverse rotation is detected. The control shifts from the control 112 to the fail-safe control 113.
 フェールセーフ制御113は、切削工具5の駆動を停止する制御である。これにより、根管治療器100は、ヘッド部2に取り付けた切削工具5が誤っていたとしても、根尖位置を超えて切削拡大することを防止することができる。フェールセーフ制御113は、ヘッド部2に取り付けた切削工具5が誤っていたとしても、逆転制御112での駆動で異常動作を防止できれば切削工具5の駆動を停止する制御だけに限られない。フェールセーフ制御113には、たとえば、切削工具5の回転速度を低下する制御、切削工具5をツイスト駆動する制御、切削工具5の駆動方向を反転する制御、音を出力する制御、光を出力する制御、およびハンドピース1を振動させる制御のうち、少なくとも何れか1つの制御を含めてもよい。具体的に、フェールセーフ制御113は、切削工具5の駆動方向を反転する制御を行い、逆転制御112による切削工具5の逆転駆動を正転駆動にすることで、切削工具5が誤っている場合の異常動作を防止してもよい。また、フェールセーフ制御113は、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出すると、報知部17を用いて音や光を出力して異常動作を報知する制御を行い、切削工具5が誤っている場合の異常動作を防止してもよい。 The fail-safe control 113 is control for stopping driving of the cutting tool 5. Thereby, even if the cutting tool 5 attached to the head portion 2 is wrong, the root canal treating device 100 can prevent the cutting and enlarging beyond the apex position. The fail-safe control 113 is not limited to the control for stopping the driving of the cutting tool 5 even if the cutting tool 5 attached to the head unit 2 is erroneous as long as the driving in the reverse rotation control 112 can prevent the abnormal operation. The fail-safe control 113 outputs, for example, control for decreasing the rotational speed of the cutting tool 5, control for twist driving the cutting tool 5, control for reversing the driving direction of the cutting tool 5, control for outputting a sound, and light. At least one of the control and the control for vibrating the handpiece 1 may be included. Specifically, the fail-safe control 113 performs control for reversing the driving direction of the cutting tool 5 and sets the reverse rotation drive of the cutting tool 5 by the reverse rotation control 112 to the normal rotation drive, so that when the cutting tool 5 is incorrect. The abnormal operation of may be prevented. When the root canal length measuring circuit 12 detects the movement of the tip of the cutting tool 5 in the direction of the root apex, the fail-safe control 113 outputs a sound or light using the notification unit 17 to notify the abnormal operation. The control may be performed to prevent abnormal operation when the cutting tool 5 is erroneous.
 フェールセーフ制御113により切削工具5の駆動が停止した場合、解除操作が行われるまで当該制御が継続する。つまり、フェールセーフ制御113から正転制御111への復帰には、解除操作が必要である。解除動作としては、たとえば根管長測定回路12が基準位置よりも歯冠側の位置となる所定位置(たとえば、根管口)への切削工具5の先端の到達を検出する操作である。なお、解除操作は、これに限定されず、たとえば駆動開始・停止ボタン15aを長押しするなど他の操作を設定してもよい。 When the drive of the cutting tool 5 is stopped by the fail-safe control 113, the control is continued until the release operation is performed. That is, a release operation is required to return from the fail-safe control 113 to the normal rotation control 111. The releasing operation is, for example, an operation in which the root canal length measuring circuit 12 detects that the tip of the cutting tool 5 has reached a predetermined position (for example, a root canal opening) that is closer to the crown than the reference position. Note that the release operation is not limited to this, and another operation such as long-pressing the drive start/stop button 15a may be set.
 根管治療器100は、図5に示すように正転制御111で切削工具5を駆動している場合に、切削工具5の先端が基準位置に至ると逆転制御112での駆動に切換わる第1段階目の制御が行われ、さらに異常動作が検出されるとフェールセーフ制御113での駆動に切換わる第2段階目の制御が行われる2段階制御となっている。この2段階制御について、フローチャートおよび模式図を用いて説明する。図6は、本実施の形態1に係る根管治療器100において実行される2段階制御を説明するためのフローチャートである。図7は、本実施の形態1に係る根管治療器100において実行される2段階制御を説明するための模式図である。なお、以下のフローチャートおよび模式図では、説明を簡単にするため、切削工具5に第1切削工具を用いて正転駆動することで根管の切削拡大を行う場合について説明する。 In the root canal treating device 100, when the cutting tool 5 is driven by the forward rotation control 111 as shown in FIG. 5, when the tip of the cutting tool 5 reaches the reference position, the driving is switched by the reverse rotation control 112. Two-step control is performed in which the first-step control is performed, and when the abnormal operation is detected, the second-step control is switched to the drive in the fail-safe control 113. This two-step control will be described using a flowchart and schematic diagrams. FIG. 6 is a flowchart for explaining the two-step control executed in the root canal treating device 100 according to the first embodiment. FIG. 7 is a schematic diagram for explaining the two-step control executed in the root canal treating device 100 according to the first embodiment. In the following flow charts and schematic diagrams, for simplification of description, a case where the root canal is cut and enlarged by driving the cutting tool 5 in the normal direction using the first cutting tool will be described.
 まず、制御部11は、使用者により駆動開始・停止ボタン15aが押下され駆動操作があったか否かを判断する(ステップS110)。駆動操作がない場合(ステップS110でNO)、制御部11は、処理をステップS110に戻し、使用者による駆動操作の待ち状態となる。駆動操作がある場合(ステップS110でYES)、制御部11は、切削工具5を正転駆動する(ステップS111)。つまり、図5に示す正転制御111で切削工具5を駆動している場合であり、図7(a)に示すように、ヘッド部2に第1切削工具5Aを取り付けて、根管の切削拡大を行っている場合である。 First, the control unit 11 determines whether or not the driving start/stop button 15a has been pressed by the user to perform a driving operation (step S110). When there is no driving operation (NO in step S110), the control unit 11 returns the process to step S110 and waits for the driving operation by the user. When there is a driving operation (YES in step S110), the control unit 11 drives the cutting tool 5 in the normal direction (step S111). That is, this is the case where the cutting tool 5 is driven by the forward rotation control 111 shown in FIG. 5, and as shown in FIG. 7A, the first cutting tool 5A is attached to the head portion 2 to cut the root canal. This is the case when expanding.
 根管長測定回路12は、切削工具5を正転駆動している間、根管内での切削工具5の先端の位置を測定している。制御部11は、根管長測定回路12で測定した切削工具5の先端の位置が基準位置(たとえば、根尖位置)に至ったか否かを判断する(ステップS112)。切削工具5の先端の位置が基準位置に至っていない場合(ステップS112でNO)、制御部11は、処理をステップS111に戻し、切削工具5の先端の位置が基準位置に至ったか否かの判断を続ける。 The root canal length measuring circuit 12 measures the position of the tip of the cutting tool 5 in the root canal while the cutting tool 5 is driven in the normal direction. The control unit 11 determines whether or not the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 has reached a reference position (for example, the apex position) (step S112). When the position of the tip of the cutting tool 5 has not reached the reference position (NO in step S112), the control unit 11 returns the process to step S111 and determines whether the position of the tip of the cutting tool 5 has reached the reference position. Continue.
 切削工具5の先端の位置が基準位置に至った場合(ステップS112でYES)、制御部11は、切削工具5を逆転駆動する(ステップS113)。つまり、図5に示す逆転制御112で切削工具5を駆動している場合であり、図7(b)に示すように、第1切削工具5Aの先端の位置が根尖位置に至って、第1切削工具5Aを逆転駆動している場合である。 When the position of the tip of the cutting tool 5 reaches the reference position (YES in step S112), the control unit 11 drives the cutting tool 5 in the reverse direction (step S113). That is, this is the case where the cutting tool 5 is driven by the reverse rotation control 112 shown in FIG. 5, and as shown in FIG. 7B, the position of the tip of the first cutting tool 5A reaches the apex position, and This is the case where the cutting tool 5A is driven in reverse.
 第1切削工具5Aを逆転駆動した場合、第1切削工具5Aの先端の位置が根尖位置から遠ざかる方向に第1切削工具5Aの先端が進むことになる(図7(c))。しかし、ヘッド部2に誤って第2切削工具5Bが取り付けられていた場合、第1切削工具5Aでの逆転駆動が第2切削工具5Bでの正転駆動となるので、根尖位置の方向に第2切削工具5Bの先端がさらに進むことになる(図7(f))。本来、逆転制御112での駆動は、基準位置に至った切削工具5の先端がさらに基準位置を超えて進むことを防止するための駆動である。そのため、制御部11は、逆転制御112で切削工具5を駆動して、さらに根尖位置の方向に切削工具5の先端が進んだ場合、使用者が意図しない動作であるとして異常動作と判断する。 When the first cutting tool 5A is driven in reverse, the tip of the first cutting tool 5A advances in a direction in which the position of the tip of the first cutting tool 5A moves away from the apex position (Fig. 7(c)). However, when the second cutting tool 5B is erroneously attached to the head portion 2, the reverse rotation drive by the first cutting tool 5A becomes the forward rotation drive by the second cutting tool 5B, so that the direction of the apex position is increased. The tip of the second cutting tool 5B further advances (FIG. 7(f)). Originally, the drive in the reverse rotation control 112 is a drive for preventing the tip of the cutting tool 5 which has reached the reference position from further proceeding beyond the reference position. Therefore, when the cutting tool 5 is driven by the reverse rotation control 112 and the tip of the cutting tool 5 further advances in the direction of the apex position, the control unit 11 determines that the operation is not intended by the user and is an abnormal operation. ..
 制御部11は、異常動作の判断を、根管長測定回路12で測定した切削工具5の先端の位置が根尖位置の方向に移動したか否かで判断する(ステップS114)。ここで、根管長測定回路12が切削工具5の先端の位置が根尖位置の方向に移動したか否かの判断について詳しく説明する。たとえば、根管長測定回路12は、切削工具5を逆転駆動させる基準位置を第1の基準位置と、根尖の位置、あるいは第1の基準位置に対して根尖側よりの位置を第2の基準位置とそれぞれ設定する。図8は、本実施の形態1に係る根管治療器において設定される第1の基準位置および第2の基準位置を説明するための模式図である。図8(a)では、根管長測定回路12において根管内の位置を20ドットのブロックで表示する場合、1目盛のブロックに第1の基準位置を、根尖の位置(APEX)の目盛のブロックに第2の基準位置をそれぞれ設定している。つまり、第2の基準位置を根尖の位置として絶対位置に設定している。なお、第2の基準位置を設定する位置は、根尖の位置に限られず、根尖の位置の近傍(例えば、APEX目盛前後の2ブロックの範囲)の位置に設定してもよい。また、図8(b)では、根管長測定回路12において根管内の位置を20ドットのブロックで表示する場合、1目盛のブロックに第1の基準位置を、第1の基準位置からたとえば3ドット根尖側よりの位置を第2の基準位置をそれぞれ設定している。つまり、第2の基準位置を第1の基準位置に対する相対位置として設定している。 The control unit 11 determines the abnormal operation based on whether the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 has moved in the direction of the apex position (step S114). Here, the determination by the root canal length measuring circuit 12 of whether or not the position of the tip of the cutting tool 5 has moved in the direction of the root apex will be described in detail. For example, the root canal length measuring circuit 12 sets the reference position for driving the cutting tool 5 in the reverse direction to the first reference position and the position of the apex or the position from the apex side with respect to the first reference position to the second reference position. Set each as the reference position of. FIG. 8 is a schematic diagram for explaining the first reference position and the second reference position set in the root canal treating device according to the first embodiment. In FIG. 8A, in the case where the position in the root canal is displayed in a block of 20 dots in the root canal length measuring circuit 12, the first reference position is set in the block of one scale and the scale of the apex position (APEX) is set. The second reference position is set for each block. That is, the second reference position is set to the absolute position as the position of the apex. The position for setting the second reference position is not limited to the position of the apex, but may be set in the vicinity of the position of the apex (for example, the range of two blocks before and after the APEX scale). Further, in FIG. 8B, when the position within the root canal is displayed in the root canal length measuring circuit 12 by a block of 20 dots, the first reference position is set in the block of one scale from the first reference position, for example. The positions from the apical side of the three dots are set as the second reference positions. That is, the second reference position is set as a relative position with respect to the first reference position.
 制御部11は、第1の基準位置および第2の基準位置を設定することで、切削工具5を逆転駆動して、根管長測定回路12が第2の基準位置への切削工具5の先端の到達を検出する場合を、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出したとして、異常動作の判断することができる。つまり、制御部11は、図8(a)に示す根管長測定回路12の表示において測定した切削工具5の先端の位置が図中上側から第1の基準位置に至った場合に切削工具5を逆転駆動させ、逆転駆動させてもさらに測定した切削工具5の先端の位置が第2の基準位置に至った場合に切削工具5の駆動を停止する。なお、根管長測定回路12が切削工具5の先端の位置が根尖位置の方向に移動したか否かの判断は、第1の基準位置および第2の基準位置を設定する場合に限定されない。たとえば、第2の基準位置を設定せずに、根管長測定回路12で測定した切削工具5の先端の位置の移動方向から根尖位置の方向に移動したか否かを判断してもよい。 The control unit 11 drives the cutting tool 5 in the reverse direction by setting the first reference position and the second reference position, and the root canal length measuring circuit 12 causes the tip of the cutting tool 5 to reach the second reference position. When the arrival of the cutting tool 5 is detected, it can be determined that the root canal length measuring circuit 12 has detected the movement of the tip of the cutting tool 5 in the direction of the root apex position and the abnormal operation. That is, the control unit 11 controls the cutting tool 5 when the position of the tip of the cutting tool 5 measured in the display of the root canal length measuring circuit 12 shown in FIG. 8A reaches the first reference position from the upper side in the drawing. Is driven in reverse, and even if it is driven in reverse, when the measured tip position of the cutting tool 5 reaches the second reference position, the driving of the cutting tool 5 is stopped. The determination of whether the tip position of the cutting tool 5 has moved in the direction of the root apex by the root canal length measuring circuit 12 is not limited to the case of setting the first reference position and the second reference position. .. For example, without setting the second reference position, it may be determined whether or not the cutting tool 5 has moved from the moving direction of the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 toward the root apex position. ..
 図8に戻って、切削工具5の先端の位置が根尖位置の方向に移動していない場合(ステップS114でNO)、制御部11は、処理をステップS113に戻し、逆転制御112による逆転駆動を続ける。切削工具5の先端の位置が根尖位置の方向に移動した場合(ステップS114でYES)、制御部11は、異常動作と判断してフェールセーフ制御113での制御として切削工具5の駆動を停止する(ステップS115)。なお、制御部11は、異常動作と判断した場合、切削工具5の駆動を停止するのではなく、切削工具5の駆動方向を反転する制御(当該フローチャートでは正転駆動)を行ってもよい。 Returning to FIG. 8, when the position of the tip of the cutting tool 5 has not moved in the direction of the apex position (NO in step S114), the control unit 11 returns the process to step S113, and performs the reverse rotation drive by the reverse rotation control 112. Continue. When the position of the tip of the cutting tool 5 moves in the direction of the apex position (YES in step S114), the control unit 11 determines that the operation is abnormal and stops driving the cutting tool 5 as control by the fail-safe control 113. Yes (step S115). Note that the control unit 11 may perform control (reverse rotation drive in the flowchart) to reverse the driving direction of the cutting tool 5 instead of stopping the driving of the cutting tool 5 when determining that the operation is abnormal.
 異常動作と判断して切削工具5の駆動を停止すると、制御部11は、使用者により解除操作が行われたか否かを判断する(ステップS116)。解除操作が行われていない場合(ステップS116でNO)、制御部11は、処理をステップS116に戻し、使用者による解除操作の待ち状態となる。解除操作が行われた場合(ステップS116でYES)、制御部11は、フェールセーフ制御113での切削工具5の駆動を終了する。つまり、制御部11は、正転制御111での切削工具5の駆動に戻る。上述したように第1の基準位置および第2の基準位置を設定する場合、解除操作として、例えば根管長測定回路12で測定した切削工具5の先端の位置が第1の基準位置に至るまで切削工具5の先端を移動させる操作が考えられる。なお、解除操作により切削工具5の先端を移動させる位置としては、第1の基準位置に限定されず根尖位置よりも歯冠側の位置となる所定位置であればよい。制御部11は、図8(a)に示す根管長測定回路12の表示においてフェールセーフ制御113で駆動を停止した切削工具5の先端の位置を第2の基準位置から第1の基準位置に戻す解除操作が行われた場合、正転制御111での切削工具5の駆動に戻る。 When it is determined that the operation is abnormal and the driving of the cutting tool 5 is stopped, the control unit 11 determines whether or not the release operation is performed by the user (step S116). When the release operation has not been performed (NO in step S116), the control unit 11 returns the process to step S116 and waits for the release operation by the user. When the release operation is performed (YES in step S116), the control unit 11 ends the driving of the cutting tool 5 in the fail-safe control 113. That is, the control unit 11 returns to the drive of the cutting tool 5 in the forward rotation control 111. When the first reference position and the second reference position are set as described above, as a releasing operation, for example, until the position of the tip of the cutting tool 5 measured by the root canal length measuring circuit 12 reaches the first reference position. An operation of moving the tip of the cutting tool 5 can be considered. The position at which the tip of the cutting tool 5 is moved by the release operation is not limited to the first reference position and may be a predetermined position that is a position closer to the crown than the apex position. In the display of the root canal length measuring circuit 12 shown in FIG. 8A, the control unit 11 changes the position of the tip of the cutting tool 5 whose driving is stopped by the fail safe control 113 from the second reference position to the first reference position. When the return releasing operation is performed, the process returns to the drive of the cutting tool 5 in the forward rotation control 111.
 以上のように、本実施の形態1に係る根管治療器100は、マイクロモータ7およびモータドライバ13などにより構成している駆動部と、制御部11と、根管長測定回路12とを備えている。駆動部は、ハンドピース1のヘッド部2に保持した切削工具5を駆動する。制御部11は、切削工具5を駆動する駆動部を制御する。根管長測定回路12は、電気的根管長測定で得られる切削工具5の先端の根管内での位置を検出する。制御部11は、ヘッド部2に保持する切削工具5が切削対象物を切削する方向に正転駆動し、切削工具5を正転駆動して、根管長測定回路12が基準位置への切削工具5の先端の到達を検出する場合、切削工具5を正転駆動の逆方向に逆転駆動し、切削工具5を逆転駆動して、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出する場合、フェールセーフ制御を実行する。 As described above, the root canal treating device 100 according to the first embodiment includes the drive unit configured by the micromotor 7, the motor driver 13, and the like, the control unit 11, and the root canal length measuring circuit 12. ing. The drive unit drives the cutting tool 5 held by the head unit 2 of the handpiece 1. The control unit 11 controls a drive unit that drives the cutting tool 5. The root canal length measuring circuit 12 detects the position of the tip of the cutting tool 5 in the root canal obtained by the electric root canal length measurement. The control unit 11 drives the cutting tool 5 held by the head unit 2 in the normal direction to cut the object to be cut, drives the cutting tool 5 in the normal direction, and causes the root canal length measuring circuit 12 to cut to the reference position. When the arrival of the tip of the tool 5 is detected, the cutting tool 5 is reversely driven in the reverse direction of the normal rotation driving, the cutting tool 5 is reversely driven, and the root canal length measuring circuit 12 performs cutting in the direction of the apex position. When detecting the movement of the tip of the tool 5, fail-safe control is executed.
 これにより、本実施の形態1に係る根管治療器100は、逆転制御112で切削工具5を駆動して意図しない動作となってもフェールセーフ制御113により切削工具5の駆動が制御されるので、ヘッド部2に取り付けた切削工具5が誤っていた場合でも安全に駆動することができる。 As a result, the root canal treating device 100 according to the first embodiment controls the driving of the cutting tool 5 by the fail-safe control 113 even if the cutting tool 5 is driven by the reverse rotation control 112 to cause an unintended operation. Even if the cutting tool 5 attached to the head portion 2 is wrong, it can be safely driven.
 フェールセーフ制御は、切削工具5の駆動を停止する制御、切削工具5の回転速度を低下する制御、切削工具5をツイスト駆動する制御、切削工具5の駆動方向を反転する制御、音を出力する制御、光を出力する制御、およびハンドピース1を振動させる制御のうち、少なくとも何れか1つの制御を含む。 The fail-safe control is a control for stopping the driving of the cutting tool 5, a control for reducing the rotation speed of the cutting tool 5, a control for twist driving the cutting tool 5, a control for reversing the driving direction of the cutting tool 5, and a sound output. At least one of the control, the control for outputting light, and the control for vibrating the handpiece 1 is included.
 これにより、本実施の形態1に係る根管治療器100は、切削工具5の駆動にあった適切なフェールセーフ制御を提供することができる。 Thereby, the root canal treating device 100 according to the first embodiment can provide appropriate fail-safe control suitable for driving the cutting tool 5.
 基準位置は、根管内で使用者が予め設定した位置、または根尖の位置である。これにより、逆転制御112で切削工具5を反転駆動させる位置を使用者によって任意に設定することが可能となる。 The reference position is the position preset by the user in the root canal or the position of the apex. This allows the user to arbitrarily set the position at which the cutting tool 5 is driven to be reversed by the reverse rotation control 112.
 制御部11は、フェールセーフ制御113を実行する場合、解除操作が行われるまでフェールセーフ制御の実行を継続する。これにより、安全な駆動が確保されるまでフェールセーフ制御113での切削工具5の駆動が維持される。 When executing the fail-safe control 113, the control unit 11 continues to execute the fail-safe control until the cancel operation is performed. As a result, the drive of the cutting tool 5 in the fail-safe control 113 is maintained until the safe drive is ensured.
 解除操作は、根管長測定回路12が基準位置よりも歯冠側の位置となる所定位置への切削工具の先端の到達を検出する操作である。これにより、フェールセーフ制御113での切削工具5の駆動を解除しても、安全な駆動を確保することができる。 The release operation is an operation in which the root canal length measuring circuit 12 detects the arrival of the tip of the cutting tool at a predetermined position which is closer to the crown than the reference position. As a result, even if the drive of the cutting tool 5 in the fail-safe control 113 is released, safe drive can be ensured.
 根管治療器100は、使用者に対して報知する報知部17をさらに備えている。報知部17は、切削工具5を逆転駆動して、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出する場合、異常を報知する。これにより、使用者は、逆転制御112による切削工具5の駆動で異常動作が生じていることを認識することができる。 The root canal treating device 100 further includes an informing unit 17 for informing the user. When the root canal length measuring circuit 12 detects the movement of the tip of the cutting tool 5 in the direction of the apex position, the notifying unit 17 drives the cutting tool 5 in the reverse direction and notifies the abnormality. This allows the user to recognize that an abnormal operation has occurred when the cutting tool 5 is driven by the reverse rotation control 112.
 根管治療器100の駆動方法は、ヘッド部2に保持する切削工具5が切削対象物を切削する方向に正転駆動するステップと、切削工具5を正転駆動して、根管長測定回路12が基準位置への切削工具5の先端の到達を検出する場合、切削工具5を正転駆動の逆方向に逆転駆動するステップと、切削工具5を逆転駆動して、根管長測定回路12が根尖位置の方向への切削工具5の先端の移動を検出する場合、フェールセーフ制御を実行するステップとを含む。 The driving method of the root canal treating device 100 includes a step of driving the cutting tool 5 held in the head portion 2 in the normal direction in the direction of cutting the object to be cut, and a normal driving of the cutting tool 5 to measure the root canal length measuring circuit. When 12 detects the arrival of the tip of the cutting tool 5 at the reference position, a step of driving the cutting tool 5 in the reverse direction of the normal rotation drive in the reverse direction, and driving the cutting tool 5 in the reverse direction, the root canal length measuring circuit 12 Detects the movement of the tip of the cutting tool 5 in the direction of the apex position, the step of executing fail-safe control is included.
 これにより、本実施の形態1に係る根管治療器100の駆動方法は、逆転駆動で切削工具5を駆動して意図しない動作となってもフェールセーフ制御により切削工具5が駆動されるので、ヘッド部2に取り付けた切削工具5が誤っていた場合でも安全に駆動することができる。 As a result, in the method for driving the root canal treating device 100 according to the first embodiment, the cutting tool 5 is driven by fail-safe control even if the cutting tool 5 is driven in the reverse rotation to cause an unintended operation. Even if the cutting tool 5 attached to the head unit 2 is wrong, it can be safely driven.
 (実施の形態2)
 本実施の形態1に係る根管治療器100では、切削工具5の先端の位置と基準位置との位置関係に基づいて、逆転制御112での駆動、およびフェールセーフ制御113での駆動に切換える2段階制御について説明した。しかし、これに限られず、根管治療器100は、切削工具5の先端の位置と基準位置との位置関係以外の条件で、逆転制御112での駆動、およびフェールセーフ制御113での駆動に切換える2段階制御を行ってもよい。本実施の形態2に係る根管治療器において実行される2段階制御について、フローチャートを用いて説明する。図9は、本実施の形態2に係る根管治療器100において実行される2段階制御を説明するためのフローチャートである。なお、本実施の形態2に係る根管治療器100でも、図1~図3に示した実施の形態1に係る根管治療器100と同じ構成を用いるため、同じ構成には同じ符号を用いて詳しい説明を繰返さない。
(Embodiment 2)
In the root canal treating device 100 according to the first embodiment, the drive is switched to the reverse rotation control 112 and the fail safe control 113 based on the positional relationship between the position of the tip of the cutting tool 5 and the reference position. The step control was explained. However, the present invention is not limited to this, and the root canal treating device 100 switches between driving by the reverse rotation control 112 and driving by the fail-safe control 113 under conditions other than the positional relationship between the position of the tip of the cutting tool 5 and the reference position. You may perform two-step control. Two-step control executed in the root canal treating device according to the second embodiment will be described with reference to a flowchart. FIG. 9 is a flowchart for explaining the two-step control executed in the root canal treating device 100 according to the second embodiment. The root canal treating device 100 according to the second embodiment also has the same configuration as the root canal treating device 100 according to the first embodiment shown in FIGS. 1 to 3, and therefore the same reference numerals are used for the same components. The detailed description will not be repeated.
 まず、制御部11は、使用者により駆動開始・停止ボタン15aが押下され駆動操作があったか否かを判断する(ステップS120)。駆動操作がない場合(ステップS120でNO)、制御部11は、処理をステップS120に戻し、使用者による駆動操作の待ち状態となる。駆動操作がある場合(ステップS120でYES)、制御部11は、切削工具5を通常動作で正転駆動する(ステップS121)。つまり、図5に示す正転制御111で切削工具5を駆動している場合である。 First, the control unit 11 determines whether or not the drive start/stop button 15a has been pressed by the user to perform a drive operation (step S120). When there is no driving operation (NO in step S120), the control unit 11 returns the process to step S120 and waits for the driving operation by the user. If there is a driving operation (YES in step S120), the control unit 11 drives the cutting tool 5 in the normal direction to rotate normally (step S121). That is, this is the case where the cutting tool 5 is driven by the forward rotation control 111 shown in FIG.
 負荷検出部で切削工具5に加わる負荷が基準負荷となったか否かを判断する(ステップS122)。つまり、制御部11は、切削工具5に加わる負荷が基準負荷となった場合、切削工具5の破折を防止するために正転制御111での駆動から逆転制御112での駆動に切換える。切削工具5に加わる負荷が基準負荷より小さい場合(ステップS122でNO)、制御部11は、処理をステップS121に戻し、切削工具5に加わる負荷が基準負荷となったか否かの判断を続ける。 The load detection unit determines whether the load applied to the cutting tool 5 has become the reference load (step S122). That is, when the load applied to the cutting tool 5 becomes the reference load, the control unit 11 switches from driving in the forward rotation control 111 to driving in the reverse rotation control 112 in order to prevent breakage of the cutting tool 5. When the load applied to the cutting tool 5 is smaller than the reference load (NO in step S122), the control unit 11 returns the process to step S121 and continues to determine whether the load applied to the cutting tool 5 has become the reference load.
 切削工具5に加わる負荷が基準負荷となった場合(ステップS122でYES)、制御部11は、切削工具5を反転動作で逆転駆動する(ステップS123)。つまり、図5に示す逆転制御112で切削工具5を駆動している場合である。 If the load applied to the cutting tool 5 has become the reference load (YES in step S122), the control unit 11 drives the cutting tool 5 in reverse by a reverse operation (step S123). That is, this is the case where the cutting tool 5 is driven by the reverse rotation control 112 shown in FIG.
 第1切削工具5Aを逆転駆動した場合、第1切削工具5Aが非切削方向に回転されるため根管壁に食い込んだ切削工具5の刃を解除され、第1切削工具5Aに加わる負荷が小さくなる。しかし、ヘッド部2に誤って第2切削工具5Bが取り付けられていた場合、第1切削工具5Aでの逆転駆動が第2切削工具5Bでの正転駆動となるので、第2切削工具5Bが切削方向に回転され根管壁に食い込んだ切削工具5の刃がさらに食い込み、第2切削工具5Bに加わる負荷が大きくなる。本来、逆転制御112での駆動は、切削工具5に加わる負荷を基準負荷より小さくなるように駆動して、切削工具5の破折を防止する駆動である。そのため、制御部11は、逆転制御112で切削工具5を駆動して、切削工具5に加わる負荷が基準負荷より大きくなった場合、使用者が意図しない動作であるとして異常動作と判断する。 When the first cutting tool 5A is driven in the reverse direction, the first cutting tool 5A is rotated in the non-cutting direction, so that the blade of the cutting tool 5 biting into the root canal wall is released, and the load applied to the first cutting tool 5A is small. Become. However, when the second cutting tool 5B is erroneously attached to the head portion 2, the reverse rotation drive of the first cutting tool 5A becomes the forward rotation drive of the second cutting tool 5B. The blade of the cutting tool 5 that is rotated in the cutting direction and bites into the root canal wall further bites, and the load applied to the second cutting tool 5B increases. Originally, the drive in the reverse rotation control 112 is a drive for preventing the breakage of the cutting tool 5 by driving the load applied to the cutting tool 5 to be smaller than the reference load. Therefore, when the cutting tool 5 is driven by the reverse rotation control 112 and the load applied to the cutting tool 5 becomes larger than the reference load, the control unit 11 determines that the operation is not intended by the user and is an abnormal operation.
 制御部11は、異常動作の判断を、負荷検出部で切削工具5に加わる負荷が基準負荷より大きくなったか否かを判断する(ステップS124)。切削工具5に加わる負荷が基準負荷より小さくなった場合(ステップS124でNO)、制御部11は、処理をステップS123に戻し、逆転制御112による逆転駆動を続ける。切削工具5に加わる負荷が基準負荷より大きくなった場合(ステップS124でYES)、制御部11は、異常動作と判断してフェールセーフ制御113での制御として切削工具5の駆動を停止する(ステップS125)。なお、制御部11は、異常動作と判断した場合、切削工具5の駆動を停止するのではなく、切削工具5の駆動方向を反転する制御(当該フローチャートでは正転駆動)を行ってもよい。 The control unit 11 determines whether or not the load applied to the cutting tool 5 by the load detection unit is larger than the reference load by determining the abnormal operation (step S124). When the load applied to the cutting tool 5 becomes smaller than the reference load (NO in step S124), the control unit 11 returns the process to step S123 and continues the reverse rotation drive by the reverse rotation control 112. When the load applied to the cutting tool 5 becomes larger than the reference load (YES in step S124), the control unit 11 determines that the operation is abnormal and stops the driving of the cutting tool 5 as the control of the fail safe control 113 (step). S125). Note that the control unit 11 may perform control (reverse rotation drive in the flowchart) to reverse the driving direction of the cutting tool 5 instead of stopping the driving of the cutting tool 5 when determining that the operation is abnormal.
 異常動作と判断して切削工具5の駆動を停止すると、制御部11は、使用者により解除操作が行われたか否かを判断する(ステップS126)。解除操作が行われていない場合(ステップS126でNO)、制御部11は、処理をステップS126に戻し、使用者による解除操作の待ち状態となる。解除操作が行われた場合(ステップS126でYES)、制御部11は、フェールセーフ制御113での切削工具5の駆動を終了する。つまり、制御部11は、正転制御111での切削工具5の駆動に戻る。 When it is determined that the operation is abnormal and the driving of the cutting tool 5 is stopped, the control unit 11 determines whether or not the release operation is performed by the user (step S126). When the release operation has not been performed (NO in step S126), the control unit 11 returns the process to step S126 and waits for the release operation by the user. When the release operation is performed (YES in step S126), the control unit 11 ends the driving of the cutting tool 5 in the fail-safe control 113. That is, the control unit 11 returns to the drive of the cutting tool 5 in the forward rotation control 111.
 以上のように、本実施の形態2に係る根管治療器100は、マイクロモータ7およびモータドライバ13などにより構成している駆動部と、制御部11と、負荷検出部とを備えている。駆動部は、ハンドピース1のヘッド部2に保持した切削工具5を駆動する。制御部11は、切削工具5を駆動する駆動部を制御する。負荷検出部は、切削工具5に加わる負荷を検出する。制御部11は、ヘッド部2に保持する切削工具5が切削対象物を切削する方向に正転駆動し、切削工具5を正転駆動して、負荷検出部で検出する切削工具5に加わる負荷が基準負荷以上である場合、切削工具5を正転駆動の逆方向に逆転駆動し、切削工具5を逆転駆動して、負荷検出部で検出する切削工具5に加わる負荷が基準負荷未満とならない場合、フェールセーフ制御を実行する。 As described above, the root canal treating device 100 according to the second embodiment includes the drive unit including the micromotor 7 and the motor driver 13, the control unit 11, and the load detecting unit. The drive unit drives the cutting tool 5 held by the head unit 2 of the handpiece 1. The control unit 11 controls a drive unit that drives the cutting tool 5. The load detector detects the load applied to the cutting tool 5. The control unit 11 drives the cutting tool 5 held by the head unit 2 in the normal rotation direction to cut an object to be cut, drives the cutting tool 5 in the normal rotation direction, and applies a load to the cutting tool 5 detected by the load detection unit. Is equal to or greater than the reference load, the cutting tool 5 is reversely driven in the reverse direction of the normal rotation drive, the cutting tool 5 is reversely driven, and the load applied to the cutting tool 5 detected by the load detection unit does not become less than the reference load. If so, execute fail-safe control.
 これにより、本実施の形態2に係る根管治療器100は、逆転制御112で切削工具5を駆動して意図しない動作となってもフェールセーフ制御113により切削工具5の駆動が制御されるので、ヘッド部2に取り付けた切削工具5が誤っていた場合でも安全に駆動することができる。 As a result, in the root canal treating device 100 according to the second embodiment, the drive of the cutting tool 5 is controlled by the fail-safe control 113 even if the reverse rotation control 112 drives the cutting tool 5 to cause an unintended operation. Even if the cutting tool 5 attached to the head portion 2 is wrong, it can be safely driven.
 本実施の形態2で説明した切削工具5に加わる負荷と基準負荷との大小関係に基づいて、逆転制御112、およびフェールセーフ制御113に切換える2段階制御の構成を、実施の形態1に係る根管治療器100での基準位置との関係に基づく2段階制御の構成に組み合わせてもよい。なお、本実施の形態2に係る根管治療器100のみの構成であれば、根管長測定システムを含まずに、切削工具5の負荷検出が可能な根管拡大のみの根管治療器であってもよい。 Based on the magnitude relationship between the load applied to the cutting tool 5 and the reference load described in the second embodiment, the configuration of the two-step control for switching to the reverse rotation control 112 and the fail-safe control 113 is the root according to the first embodiment. You may combine with the structure of the two-step control based on the relationship with the reference position in the tube treatment device 100. In addition, if only the root canal treating device 100 according to the second embodiment is configured, it is a root canal treating device that does not include a root canal length measuring system and can detect the load of the cutting tool 5 and only expands the canal. It may be.
 (変形例)
 (1) 実施の形態1~2に係る根管治療器100では、コードレスタイプの根管治療器でモータユニット6や制御ボックス9を内蔵している構成について説明したが、これに限定されるものではなく、ハンドピース1が、ホース61を介して、外部に設けた制御ボックス9に連結される構成でもよい。図10は、ハンドピース1の外に設けた制御ボックス9とコードで接続された根管治療器100aの構成を示す概略図である。当該根管治療器100aの構成において、図1~図3に示した構成と同じ構成については、同じ符号を付して詳しい説明は繰り返さない。
(Modification)
(1) In the root canal treating device 100 according to the first and second embodiments, the configuration in which the motor unit 6 and the control box 9 are built in is a cordless type root canal treating device, but the invention is not limited to this. Instead, the handpiece 1 may be connected to the control box 9 provided outside through the hose 61. FIG. 10 is a schematic diagram showing a configuration of a root canal treating device 100a connected to a control box 9 provided outside the handpiece 1 by a cord. In the configuration of the root canal treating device 100a, the same components as those shown in FIGS. 1 to 3 are designated by the same reference numerals and detailed description thereof will not be repeated.
 図10に示す根管治療器100aは、歯科用根管治療のためのハンドピース1、モータユニット6、制御ボックス9を含んでいる。歯科用根管治療のハンドピース1は、把持部4の基部には、ヘッド部2に保持される切削工具5(ファイル或いはリーマなど)を回転駆動させるためのモータユニット6が着脱自在に接続される。ハンドピース1にモータユニット6が連結された状態で歯科用のインスツルメント10を構成する。 A root canal treating device 100a shown in FIG. 10 includes a handpiece 1 for dental root canal treatment, a motor unit 6, and a control box 9. In the handpiece 1 for dental root canal treatment, a motor unit 6 for rotationally driving a cutting tool 5 (file or reamer) held by the head 2 is detachably connected to the base of the grip 4. It The dental instrument 10 is configured with the motor unit 6 connected to the handpiece 1.
 モータユニット6は、マイクロモータ7を内蔵し、該マイクロモータ7へ電源を供給する電源供給用リード線71および、根管長測定回路12へ信号を伝送する信号用リード線8などを内装するホース61を介して、制御ボックス9に連結してある。 The motor unit 6 has a micromotor 7 built-in, and a hose having a power supply lead wire 71 for supplying power to the micromotor 7, a signal lead wire 8 for transmitting a signal to the root canal length measuring circuit 12, and the like. It is connected to the control box 9 via 61.
 制御ボックス9は、図10に示すように、本体側部にインスツルメント10を不使用時に保持するためのホルダ10aを取付けてある。また、制御ボックス9には、フートコントローラ18を制御部11に連結し、リード線19を根管長測定回路12に連結してある。リード線19は、制御ボックス9から引き出されているが、ホース61の途中から分岐するように引き出してもよい。 As shown in FIG. 10, the control box 9 has a holder 10a attached to the side of the main body for holding the instrument 10 when not in use. Further, in the control box 9, a foot controller 18 is connected to the control unit 11, and a lead wire 19 is connected to the root canal length measuring circuit 12. Although the lead wire 19 is drawn from the control box 9, it may be drawn so as to be branched from the middle of the hose 61.
 設定部14は、制御ボックス9の表面に設定変更するための選択ボタン15bを有しており、当該選択ボタン15bを操作することで切削工具5の回転方向、回転数および回転角度などを制御する基準を設定する。 The setting unit 14 has a selection button 15b for changing the setting on the surface of the control box 9, and controls the rotation direction, rotation speed, rotation angle, etc. of the cutting tool 5 by operating the selection button 15b. Set the standard.
 操作部15は、制御ボックス9の表面に駆動開始・停止ボタン15aを有しており、当該駆動開始・停止ボタン15aを操作することで切削工具5の駆動を開始または停止することができる。 The operation unit 15 has a drive start/stop button 15a on the surface of the control box 9, and the drive of the cutting tool 5 can be started or stopped by operating the drive start/stop button 15a.
 フートコントローラ18は、マイクロモータ7による切削工具5の駆動制御を足踏操作によって行う操作受付部である。なお、マイクロモータ7による切削工具5の駆動制御は、フートコントローラ18に限定されるものではなく、ハンドピース1の把持部4に操作スイッチ(図示せず)を設け、この操作スイッチとフートコントローラ18とを併用して切削工具5の駆動制御を行うようにしてもよい。また、たとえば、フートコントローラ18の足踏操作がなされている状態で、さらに切削工具5が根管内に挿入されたことを根管長測定回路12が検出したことで、切削工具5の回転を開始するようにしてもよい。 The foot controller 18 is an operation reception unit that controls the driving of the cutting tool 5 by the micromotor 7 by stepping. The drive control of the cutting tool 5 by the micromotor 7 is not limited to the foot controller 18, but an operation switch (not shown) is provided in the grip portion 4 of the handpiece 1, and the operation switch and the foot controller 18 are provided. You may make it drive-control the cutting tool 5 using together and. Further, for example, while the foot controller 18 is being operated on by the foot, the root canal length measuring circuit 12 detects that the cutting tool 5 has been inserted into the root canal, so that the cutting tool 5 is rotated. You may make it start.
 なお、根管治療器100aの制御ボックス9は、歯科用診療台の側部に設置するトレーテーブルやサイドテーブル上に載置して使用する構成について説明したが、本発明はこれに限定されず、トレーテーブルやサイドテーブル内に制御ボックス9を組込んだ構成であってもよい。 In addition, although the control box 9 of the root canal treating device 100a has been described as being placed on a tray table or a side table installed on the side of the dental examination table and used, the present invention is not limited to this. The control box 9 may be incorporated in the tray table or the side table.
 (2) 実施の形態1~2に係る根管治療器100では、切削工具5を駆動する動力源にマイクロモータ7を用いる場合について説明したが、これに限定されるものではなく、エアモータなどの別の駆動源であってもよい。 (2) In the root canal treating device 100 according to the first and second embodiments, the case where the micromotor 7 is used as the power source for driving the cutting tool 5 has been described, but the present invention is not limited to this, and an air motor or the like may be used. It may be another drive source.
 今回開示された実施の形態はすべての点で例示であって制限的なものではないと考えられるべきである。本発明の範囲は、上記した説明ではなく、請求の範囲によって示され、請求の範囲と均等の意味および範囲内でのすべての変更が含まれることが意図される。 The embodiments disclosed this time are to be considered as illustrative in all points and not restrictive. The scope of the present invention is shown not by the above description but by the claims, and is intended to include meanings equivalent to the claims and all modifications within the scope.
 1 ハンドピース、2 ヘッド部、3 ネック部、4 把持部、5 切削工具、6 モータユニット、7 マイクロモータ、8 信号用リード線、9 制御ボックス、10 インスツルメント、10a ホルダ、11 制御部、12 根管長測定回路、13 モータドライバ、13a トランジスタスイッチ、13b トランジスタドライバ回路、13c 回転方向切換スイッチ、13d 負荷検出用抵抗、14 設定部、14a,14b,14c 可変抵抗、15 操作部、15a 駆動開始・停止ボタン、15b 選択ボタン、16 表示部、17 報知部、18 フートコントローラ、19 リード線、19a 口腔電極、100 根管治療器、110 比較回路。 1 handpiece, 2 head part, 3 neck part, 4 gripping part, 5 cutting tool, 6 motor unit, 7 micromotor, 8 signal lead wire, 9 control box, 10 instruments, 10a holder, 11 control part, 12 root canal length measurement circuit, 13 motor driver, 13a transistor switch, 13b transistor driver circuit, 13c rotation direction change switch, 13d load detection resistor, 14 setting unit, 14a, 14b, 14c variable resistor, 15 operation unit, 15a drive Start/stop button, 15b selection button, 16 display section, 17 notification section, 18 foot controller, 19 lead wire, 19a oral electrode, 100 root canal treatment device, 110 comparison circuit.

Claims (10)

  1.  ハンドピースのヘッド部に保持した切削工具を駆動する駆動部と、
     前記切削工具を駆動する前記駆動部を制御する制御部と、
     電気的根管長測定で得られる前記切削工具の先端の根管内での位置を検出する位置検出部とを備え、
     前記制御部は、
      前記ヘッド部に保持する前記切削工具が切削対象物を切削する方向に正転駆動し、
      前記切削工具を前記正転駆動して、前記位置検出部が基準位置への前記切削工具の先端の到達を検出する場合、前記切削工具を前記正転駆動の逆方向に逆転駆動し、
      前記切削工具を前記逆転駆動して、前記位置検出部が根尖位置の方向への前記切削工具の先端の移動を検出する場合、フェールセーフ制御を実行する、歯科用治療装置。
    A drive unit that drives the cutting tool held on the head of the handpiece,
    A control unit that controls the drive unit that drives the cutting tool;
    A position detection unit for detecting the position in the root canal of the tip of the cutting tool obtained by electrical root canal length measurement,
    The control unit is
    The cutting tool held in the head portion is driven in the normal direction in the direction of cutting the object to be cut,
    When the cutting tool is driven in the normal direction and the position detection unit detects the arrival of the tip of the cutting tool to a reference position, the cutting tool is reversely driven in the reverse direction of the normal rotation driving,
    The dental treatment apparatus which performs fail-safe control when the cutting tool is driven in the reverse direction to detect the movement of the tip of the cutting tool in the direction of the apex position by the position detection unit.
  2.  前記フェールセーフ制御は、前記切削工具の駆動を停止する制御、前記切削工具の回転速度を低下する制御、前記切削工具をツイスト駆動する制御、前記切削工具の駆動方向を反転する制御、音を出力する制御、光を出力する制御、および前記ハンドピースを振動させる制御のうち、少なくとも何れか1つの制御を含む、請求項1に記載の歯科用治療装置。 The fail-safe control is a control for stopping the driving of the cutting tool, a control for reducing the rotation speed of the cutting tool, a control for twist driving the cutting tool, a control for reversing the driving direction of the cutting tool, and outputting a sound. The dental treatment apparatus according to claim 1, further comprising at least one of a control for turning on, a control for outputting light, and a control for vibrating the handpiece.
  3.  前記基準位置は、根管内で使用者が予め設定した位置、または根尖の位置である、請求項1または請求項2に記載の歯科用治療装置。 The dental treatment device according to claim 1 or 2, wherein the reference position is a position preset by a user in the root canal or a position of a root apex.
  4.  前記位置検出部は、前記切削工具を前記逆転駆動させる前記基準位置を第1の基準位置と、根尖の位置、あるいは前記第1の基準位置に対して根尖側よりの位置を第2の基準位置とそれぞれ設定し、
     前記制御部は、前記切削工具を前記逆転駆動して、前記位置検出部が前記第2の基準位置への前記切削工具の先端の到達を検出する場合を、前記位置検出部が根尖位置の方向への前記切削工具の先端の移動を検出したとして、前記フェールセーフ制御を実行する、請求項1または請求項2に記載の歯科用治療装置。
    The position detection unit sets the reference position for driving the cutting tool in the reverse direction to a first reference position, the position of the apex, or the position from the apex side with respect to the first reference position to the second reference position. Set each with the reference position,
    When the control unit reversely drives the cutting tool and the position detection unit detects arrival of the tip of the cutting tool to the second reference position, the position detection unit detects the apex position. The dental treatment apparatus according to claim 1 or 2, wherein the fail-safe control is executed on the assumption that the movement of the tip of the cutting tool in the direction is detected.
  5.  前記制御部は、前記フェールセーフ制御を実行する場合、解除操作が行われるまで前記フェールセーフ制御の実行を継続する、請求項1~請求項4のいずれか1項に記載の歯科用治療装置。 The dental treatment device according to any one of claims 1 to 4, wherein, when the control unit executes the fail-safe control, the control unit continues the execution of the fail-safe control until a release operation is performed.
  6.  前記解除操作は、根尖位置よりも歯冠側の位置となる所定位置への前記切削工具の先端の到達を検出する操作である、請求項5に記載の歯科用治療装置。 The dental treatment device according to claim 5, wherein the releasing operation is an operation of detecting arrival of the tip of the cutting tool to a predetermined position which is closer to the crown than the apex position.
  7.  使用者に対して報知する報知部をさらに備え、
     前記報知部は、前記切削工具を前記逆転駆動して、前記位置検出部が根尖位置の方向への前記切削工具の先端の移動を検出する場合、異常を報知する、請求項1~請求項6のいずれか1項に記載の歯科用治療装置。
    Further comprising an informing unit for informing the user,
    The reporting unit reports the abnormality when the cutting tool is driven in the reverse direction and the position detection unit detects the movement of the tip of the cutting tool in the direction of the root apex. The dental treatment device according to any one of 6 above.
  8.  前記切削工具に加わる負荷を検出する負荷検出部をさらに備え、
      前記切削工具を前記正転駆動して、前記負荷検出部で検出する前記切削工具に加わる負荷が基準負荷以上である場合、前記切削工具を前記正転駆動の逆方向に逆転駆動し、
      前記切削工具を前記逆転駆動して、前記負荷検出部で検出する前記切削工具に加わる負荷が前記基準負荷未満とならない場合、前記フェールセーフ制御を実行する、請求項1~請求項7のいずれか1項に記載の歯科用治療装置。
    Further comprising a load detection unit for detecting a load applied to the cutting tool,
    When the cutting tool is driven in the normal direction and the load applied to the cutting tool detected by the load detection unit is equal to or higher than a reference load, the cutting tool is reversely driven in the reverse direction of the normal rotation driving,
    8. The fail-safe control is executed when the load applied to the cutting tool detected by the load detection unit is not less than the reference load by driving the cutting tool in the reverse direction. The dental treatment apparatus according to item 1.
  9.  ハンドピースのヘッド部に保持した切削工具を駆動する駆動部と、
     前記切削工具を駆動する前記駆動部を制御する制御部と、
     前記切削工具に加わる負荷を検出する負荷検出部とを備え、
     前記制御部は、
      前記ヘッド部に保持する前記切削工具が切削対象物を切削する方向に正転駆動し、
      前記切削工具を前記正転駆動して、前記負荷検出部で検出する前記切削工具に加わる負荷が基準負荷以上である場合、前記切削工具を前記正転駆動の逆方向に逆転駆動し、
      前記切削工具を前記逆転駆動して、前記負荷検出部で検出する前記切削工具に加わる負荷が前記基準負荷未満とならない場合、フェールセーフ制御を実行する、歯科用治療装置。
    A drive unit that drives the cutting tool held on the head of the handpiece,
    A control unit that controls the drive unit that drives the cutting tool;
    A load detection unit for detecting a load applied to the cutting tool,
    The control unit is
    The cutting tool held in the head portion is driven in the normal direction in the direction of cutting the object to be cut,
    When the cutting tool is driven in the normal direction and the load applied to the cutting tool detected by the load detection unit is equal to or higher than a reference load, the cutting tool is reversely driven in the reverse direction of the normal rotation driving,
    A dental treatment device that performs fail-safe control when the cutting tool is driven in the reverse direction and the load applied to the cutting tool detected by the load detection unit does not fall below the reference load.
  10.  ハンドピースのヘッド部に保持された切削工具を駆動する駆動部と、前記切削工具を駆動する前記駆動部を制御する制御部と、電気的根管長測定で得られる前記切削工具の先端の根管内での位置を検出する位置検出部とを備える歯科用治療装置の駆動方法であって、
     前記制御部は、
      前記ヘッド部に保持する前記切削工具が切削対象物を切削する方向に正転駆動するステップと、
      前記切削工具を前記正転駆動して、前記位置検出部が基準位置への前記切削工具の先端の到達を検出する場合、前記切削工具を前記正転駆動の逆方向に逆転駆動するステップと、
      前記切削工具を前記逆転駆動して、前記位置検出部が根尖位置の方向への前記切削工具の先端の移動を検出する場合、フェールセーフ制御を実行するステップとを含む、歯科用治療装置の駆動方法。
    A drive unit that drives the cutting tool held by the head of the handpiece, a control unit that controls the drive unit that drives the cutting tool, and a root of the tip of the cutting tool obtained by electrical root canal length measurement. A method for driving a dental treatment apparatus comprising a position detecting section for detecting a position in a tube,
    The control unit is
    A step in which the cutting tool held in the head section is driven in the normal direction in a direction of cutting a cutting object;
    When driving the cutting tool in the normal rotation, when the position detection unit detects the arrival of the tip of the cutting tool to a reference position, driving the cutting tool in the reverse direction of the normal rotation driving, reverse driving,
    When the cutting tool is driven in the reverse direction and the position detection unit detects movement of the tip of the cutting tool in the direction of the apex position, a step of executing fail-safe control is included. Driving method.
PCT/JP2020/000297 2019-02-06 2020-01-08 Dental therapy device and method for driving same WO2020162090A1 (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007229110A (en) * 2006-02-28 2007-09-13 Morita Mfg Co Ltd Dental root canal treatment device
WO2012164875A1 (en) 2011-05-27 2012-12-06 株式会社ナカニシ Dental handpiece control device
JP2018149169A (en) * 2017-03-14 2018-09-27 株式会社モリタ製作所 Root canal treatment device
CN108712111A (en) * 2018-05-31 2018-10-26 广州泰莱医疗设备有限公司 A kind of intelligent controlling device and its control method of the rotation of therapeutic instrument for root canal motor

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP3264607B2 (en) * 1995-07-28 2002-03-11 株式会社モリタ製作所 Motor control device for dental handpiece
JP4916037B2 (en) * 2010-07-02 2012-04-11 株式会社ナカニシ Motor control method and control device for dental handpiece
EP2805687B1 (en) * 2012-01-16 2018-08-29 Nakanishi Inc. Device for controlling a dental handpiece
JP5791761B1 (en) * 2014-05-21 2015-10-07 株式会社モリタ製作所 Display device for root canal treatment, root canal treatment unit, and method for operating display device for root canal treatment

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007229110A (en) * 2006-02-28 2007-09-13 Morita Mfg Co Ltd Dental root canal treatment device
WO2012164875A1 (en) 2011-05-27 2012-12-06 株式会社ナカニシ Dental handpiece control device
JP2018149169A (en) * 2017-03-14 2018-09-27 株式会社モリタ製作所 Root canal treatment device
CN108712111A (en) * 2018-05-31 2018-10-26 广州泰莱医疗设备有限公司 A kind of intelligent controlling device and its control method of the rotation of therapeutic instrument for root canal motor

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP3922206A4

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